Jasmine Jones, MA, LCPC, NCC | |
2511 N Main St, East Peoria, IL 61611-1783 | |
(309) 670-0459 | |
(309) 670-0416 |
Full Name | Jasmine Jones |
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Gender | Female |
Speciality | Counselor |
Location | 2511 N Main St, East Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205470168 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 36237 (Illinois) | Secondary |
101Y00000X | Counselor | 180011232 (Illinois) | Primary |
Entity Name | Inner Wellness Of Central Illinois Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871164442 PECOS PAC ID: 7911387592 Enrollment ID: O20220629003113 |
Mailing Address | Practice Location Address |
---|---|
Jasmine Jones, MA, LCPC, NCC 2511 N Main St, East Peoria, IL 61611-1783 Ph: (309) 670-0459 | Jasmine Jones, MA, LCPC, NCC 2511 N Main St, East Peoria, IL 61611-1783 Ph: (309) 670-0459 |
Elena Jenkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 W Washington St Ste 230, East Peoria, IL 61611 Phone: 309-477-5607 | |
Mrs. Joy Valente, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1401 E Washington St, East Peoria, IL 61611 Phone: 309-694-8300 | |
Ryan Kellog, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 W Washington St Ste 203, East Peoria, IL 61611 Phone: 309-671-8060 | |
Mr. Israel P Serrano, BS CADC MISA Counselor Medicare: Not Enrolled in Medicare Practice Location: 731 Sabrina Dr Unit C, East Peoria, IL 61611 Phone: 309-699-9700 Fax: 309-699-2937 | |
Danielle Mccoy, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1139 N Nancy St, East Peoria, IL 61611 Phone: 309-645-9620 | |
Taylor Maxfield, Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Rue Vue Du Lac, East Peoria, IL 61611 Phone: 309-253-4831 |