MRS. JAMIE LEE BLAKEMAN (NPI# 1114358199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114358199 |
| Entity Type | Individual |
| Full Name | MRS. JAMIE LEE BLAKEMAN |
| Credential | LPC |
| Practice Address |
5220 S 6th Street Rd Suite 2400 Springfield IL 62703-5735 |
| Mailing Address |
710 N 8th St Springfield IL 62702-6324 |
| Practice Telephone | 2177577700 |
| Practice Fax Number | 2177577799 |
| Mailing Telephone | 2175251064 |
| Mailing Fax Number | 2175251651 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178.009508 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386635613 | Jamie Dawn Blakeman | Nurse Practitioner | 603a Columbia Hwy, Greensburg, KY 42743-1115 | 2005-11-04 |
| Street Address |
5220 S 6TH STREET RD SUITE 2400 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336168269 | Hetal A Shah | Physical Therapist | 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | 2006-07-19 |
| 1376093740 | Stephanie Nicole Fahey | Speech-Language Pathologist | 5220 S 6th Street Rd, Suite 1700 (noll Medical Pavillion, The Autism Clinic), Springfield, IL 62703-5735 | 2016-10-10 |
| 1285096560 | Meika Valerio | Behavioral Analyst | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2016-03-24 |
| 1770941957 | Katherine Docter | Behavioral Analyst | 5220 S 6th Street Rd, Springfield, IL 62703-5735 | 2016-02-03 |
| 1619332541 | Angela Westwood | Speech-Language Pathologist | 5220 S 6th Street Rd, Ste. 1700, Springfield, IL 62703-5735 | 2015-12-18 |
| 1962877571 | Anne Marie Wingbermuehle | Behavioral Analyst | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2015-12-08 |
| 1528432119 | The Hope School Dba The Autism Clinic | Counselor | 5220 S 6th Street Rd, Suite 1700, Springfield, IL 62703-5735 | 2015-11-19 |
| 1518343722 | Board of Trustees of Southern Illinois University | Clinic/Center | 5220 S 6th Street Rd, Suite 1500, Springfield, IL 62703-5735 | 2015-08-11 |
| 1457774416 | Brianne Satorius | Counselor | 5220 S 6th Street Rd, Suite 2400, Springfield, IL 62703-5735 | 2014-01-28 |
| 1982049508 | The Baby Fold | Foster Care Agency | 5220 S 6th Street Rd, Springfield, IL 62703-5735 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
| 1366055352 | Joshua Dauner | Counselor | 819 N Boonville Ave, Springfield, MO 65802-3831 | 2020-08-28 |
| 1972114411 | Doris Osiimwe Johnson | Counselor | 52 Elaine Cir # 52, Springfield, MA 01109-1205 | 2020-08-10 |
| 1003426610 | Jy Counseling LLC | Counselor | 6054 Forrest Hollow Ln, Springfield, VA 22152-1428 | 2020-08-07 |
| 1912526674 | Amy Christine Russell | Counselor | 317 30th St Apt 304d, Springfield, OR 97478-7619 | 2020-04-13 |
| 1588299184 | Julie Patricia Slover | Counselor | 3331 S Parkview Ave, Springfield, MO 65804-4755 | 2020-03-04 |
| 1356986319 | Three Dirty Birds LLC | Counselor | 805 Lorraine Dr, Springfield, PA 19064-1004 | 2019-11-14 |
| 1992348916 | Tiffany Looney | Counselor | 1705 Centennial Blvd Ste 1, Springfield, OR 97477-3320 | 2019-10-22 |
| 1588206346 | Carrie Stormzand | Counselor | 4546 S Quail Creek Ave, Springfield, MO 65810-1678 | 2019-10-14 |
| 1366084295 | Betty Jean | Counselor | 673 Morris Ave, Springfield, NJ 07081-1512 | 2019-10-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on MRS. JAMIE LEE BLAKEMAN.
| 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.