MS. DEBORAH LUBERTHA JELLEMA (NPI# 1740446293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740446293 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH LUBERTHA JELLEMA |
| Credential | L.C.P.C., L.M.H.C. |
| Practice Address |
2325 177th St Lansing IL 60438-1722 |
| Practice Telephone | 7088957310 |
| Practice Fax Number | 7088957602 |
| Mailing Telephone | 7088957310 |
| Mailing Fax Number | 7088957602 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 39001865A | IN | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 180005849 | IL | Behavioral Health & Social Service Providers |
| Street Address |
2325 177TH ST |
| City | LANSING |
| State | IL |
| Zip Code | 60438-1722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235104647 | Stephen Lanterman | Social Worker | 2325 177th St, Lansing, IL 60438-1722 | 2006-02-20 |
| 1649691924 | Donna Southard | Counselor | 2325 177th St, Lansing, IL 60438-1722 | 2014-01-03 |
| 1891137683 | John J Collins | Social Worker | 2325 177th St, Lansing, IL 60438-1722 | 2013-07-23 |
| 1760750913 | Norman L Leclercq | Marriage & Family Therapist | 2325 177th St, Lansing, IL 60438-1722 | 2011-12-02 |
| 1619282928 | Lasaundra D Gordon | Counselor | 2325 177th St, Lansing, IL 60438-1722 | 2010-08-11 |
| 1881842565 | Latrice Tonias Pate Oglesby | Counselor | 2325 177th St, Lansing, IL 60438-1722 | 2008-09-05 |
| 1407002488 | Kass Janel Cooper | Social Worker | 2325 177th St, Lansing, IL 60438-1722 | 2008-08-11 |
| 1356507131 | Sherwyn (terry) Top | Marriage & Family Therapist | 2325 177th St, Lansing, IL 60438-1722 | 2008-07-31 |
| 1457568966 | Robert Kallus | Marriage & Family Therapist | 2325 177th St, Lansing, IL 60438-1722 | 2007-05-16 |
| 1508824830 | New Leaf Resources | Counselor | 2325 177th St, Lansing, IL 60438-1722 | 2006-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013429984 | Gentle Touch Healthcare Services | In Home Supportive Care | 18236 Ridgewood, Lansing, IL 60438 | 2017-10-31 |
| 1336658699 | Elizabeth M Cichocki | Speech-Language Pathologist | Memorial Jr. High School, 2721 Ridge Rd., Lansing, IL 60438 | 2017-09-29 |
| 1023527595 | Sue Hecht | Speech-Language Pathologist | 18300 Greenbay, Lansing, IL 60438 | 2017-09-27 |
| 1275960130 | Senegal Enterprises Medical, Inc | Durable Medical Equipment & Medical Supplies | 3330 181st Place, Suite 103, Lansing, IL 60438 | 2013-10-08 |
| 1295062404 | Dominion Home Health Care Inc. | Home Health | 2521 Ridge Road, Suite 4, Lansing, IL 60438 | 2009-11-09 |
| 1013076348 | Wayne M Mrjenovich Dds PC | Dentist | 19111 Burnham Ave, Lansing, IL 60438 | 2006-12-06 |
| 1124198247 | Jennifer Meyer | Counselor | 17041 Chicago Ave, Lansing, IL 60438 | 2006-11-08 |
| 1821171182 | Nurse Coordinators & Home Health | Home Health | 1955 Bernice Rd, Suite 1sw, Lansing, IL 60438 | 2006-10-23 |
| 1275633133 | Hoovers Home Health Inc | Durable Medical Equipment & Medical Supplies | 3326 Ridge Rd, Lansing, IL 60438 | 2006-09-22 |
| 1942307053 | Brant T Molenaar | Optometrist | 3546 Ridge Road, Lansing, IL 60438 | 2006-09-20 |
| Find all providers in zip 60438 | ||||
| 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 |
|---|---|---|---|---|
| 1215566757 | Ezekiel Moreno | Counselor | 1412 Bentwood Dr, Lansing, MI 48917-2035 | 2020-04-06 |
| 1225503576 | Danielle Greve | Counselor | 5904 Cabrena Dr, Lansing, MI 48917-1263 | 2018-10-12 |
| 1073029880 | Re-inventing Yourself Counsultation LLC | Counselor | 913 W Holmes Rd Ste 178a, Lansing, MI 48910-0434 | 2017-12-18 |
| 1003270133 | Stephanie Gogarn | Counselor | 5010 Delbrook Ave, Lansing, MI 48910-5386 | 2016-04-05 |
| 1659747632 | Darryl Steele | Counselor | 838 Edgemont Blvd Apt 5, Lansing, MI 48917-2227 | 2015-08-13 |
| 1407236284 | Marianne Oren | Counselor | 2200 Boston Blvd, Lansing, MI 48910-2460 | 2015-06-05 |
| 1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
| 1982004800 | Ajaunta Turner | Counselor | 3419 Davidson Dr, Lansing, MI 48910-4487 | 2014-08-28 |
| 1508273202 | Julia Dawson | Counselor | 913 W Holmes Rd Ste 135, Lansing, MI 48910-0436 | 2014-07-15 |
| 1235561242 | Kathryn Ann Stephens | Counselor | 2580 Eaton Rapids Rd, Lansing, MI 48911-6307 | 2013-07-31 |
| Find all providers in LANSING | ||||
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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.