JEN GUIDEBECK, LLC (NPI# 1598312043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598312043 |
| Entity Type | Organization |
| Organization Name | JEN GUIDEBECK, LLC |
| Practice Address |
200 W Monroe St # 302c Bloomington IL 61701-3997 |
| Mailing Address |
3201 Clairbridge Dr Bloomington IL 61704-9474 |
| Practice Telephone | 2176205864 |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | JENNIFER GUIDEBECK (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 2176205864 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
200 W MONROE ST # 302C |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3997 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| 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 |
| 1578058913 | Ubuntu Care Services LLC | Community/Behavioral Health | 7800 Metro Pkwy Ste 71, Bloomington, MN 55425-1514 | 2018-06-28 |
| 1992242218 | The Growing Place, Inc | Community/Behavioral Health | 4326 E Beacon Ct, Bloomington, IN 47408-3001 | 2017-01-24 |
| 1245786698 | Tonya L. Bassett Counseling, Inc | Community/Behavioral Health | 200 W Monroe St Ste 25, Suite 302-a, Bloomington, IL 61701-3922 | 2016-08-26 |
| 1881046258 | Healing Waters Recovery Counseling | Community/Behavioral Health | 6954 W 84th St, Bloomington, MN 55438-1159 | 2016-07-08 |
| 1841652443 | Lyndsey Johnsen, Lcsw | Community/Behavioral Health | 901 E Grove St Ste O, Bloomington, IL 61701-8539 | 2016-03-22 |
| 1225418908 | Under The Umbrella, LLC | Community/Behavioral Health | 1136 W 17th St Ste B, Bloomington, IN 47404-3000 | 2015-06-08 |
| 1295128841 | Dawn Zywiec Professional Counseling, LLC | Community/Behavioral Health | 2310 E Oakland Ave, Suite 4, Bloomington, IL 61701-5865 | 2015-03-06 |
| 1316364607 | Innerguidance Counseling LLC | Community/Behavioral Health | 9501 Dakota Rd, Bloomington, MN 55438-1710 | 2014-03-25 |
| 1245679265 | Stepping Stones, Inc. | Community/Behavioral Health | 2615 E 2nd St, Bloomington, IN 47401-5370 | 2013-06-24 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on JEN GUIDEBECK, LLC.
| 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.