JESSICA PIPPIN (NPI# 1265818934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265818934 |
| Entity Type | Individual |
| Full Name | JESSICA PIPPIN |
| Credential | LPC |
| Practice Address |
103 N Regency Dr Bloomington IL 61701-3570 |
| Practice Telephone | 3096618046 |
| Practice Fax Number | 3096618093 |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2020-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 18.012780 | IL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
178009900 | IL | Behavioral Health & Social Service Providers |
| Street Address |
103 N REGENCY DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699882332 | Merrie J Seip | Social Worker | 103 N Regency Dr, Bloomington, IL 61701-3570 | 2006-08-25 |
| 1669022281 | Matt Hickman | Counselor | 103 N Regency Dr, Bloomington, IL 61701-3568 | 2019-09-16 |
| 1649774746 | Jody Seip Counseling | Social Worker | 103 N Regency Dr, Bloomington, IL 61701-3570 | 2018-03-22 |
| 1073016101 | Trisha Dyan Mann | Psychologist | 103 N Regency Dr, Bloomington, IL 61701-3570 | 2018-03-15 |
| 1538529995 | Marie Nebel-schwalm | Psychologist | 103 N Regency Dr, Bloomington, IL 61701-3570 | 2016-02-28 |
| 1922375377 | Neuropsychology Center for Attention, Behavior & Learning, LLC | Clinical Neuropsychologist | 103 N Regency Dr, Suite 1s, Bloomington, IL 61701-3503 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630357 | Janice Bush | Counselor | 909 W Olive St, Bloomington, IL 61701-4962 | 2020-05-08 |
| 1457986556 | Jon Brookson Engfer | Counselor | 8609 Lyndale Avenue South, Bloomington, MN 55420 | 2020-03-09 |
| 1346883501 | Christine Lee Garwick-foley | Counselor | 10032 Quebec Ave S, Bloomington, MN 55438-2126 | 2019-10-21 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1477990059 | Megan S Nickless | Counselor | 205 N College Ave Ste 613, Bloomington, IN 47404-3956 | 2013-05-23 |
| 1427329143 | Jared Brent Bostrom | Counselor | 1100 E 80th St, Bloomington, MN 55420-1426 | 2012-01-26 |
| 1437438181 | Walter Lawrence Campbell | Counselor | 600 N. Jordan Ave, Bloomington, IN 47405 | 2011-08-12 |
| 1720376221 | Jamie Laurson | Counselor | 702 W. Chestnut Street, Bloomington, IL 61701 | 2011-07-18 |
| 1396054037 | Carrie Ann Lawrence | Counselor | 6666 S Old State Road 37, Bloomington, IN 47401-8912 | 2010-09-29 |
| 1558691998 | Robarn Danzman | Counselor | 221 E Kirkwood Ave, Suite 5, Bloomington, IN 47408-3559 | 2010-01-07 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.