TEEGAN ROCHELLE LUND (NPI# 1699253815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699253815 |
| Entity Type | Individual |
| Full Name | TEEGAN ROCHELLE LUND |
| Credential | LCPC |
| Practice Address |
340 W State St Jacksonville IL 62650-2061 |
| Mailing Address |
710 N 8th St Springfield IL 62702-6324 |
| Practice Telephone | 2172456126 |
| Practice Fax Number | 2172454296 |
| Mailing Telephone | 2175251064 |
| Mailing Fax Number | 2175251651 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
180011676 | IL | Behavioral Health & Social Service Providers |
| Street Address |
340 W STATE ST |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437128006 | Kathy Moore Dyson | Counselor | 340 W State St, Jacksonville, IL 62650-2061 | 2006-03-16 |
| 1629694583 | Elizbeth Huss Secrist | Counselor | 340 W State St, Jacksonville, IL 62650-2061 | 2020-06-17 |
| 1063058113 | Nora A Bishop | Counselor | 340 W State St, Jacksonville, IL 62650-2061 | 2019-11-25 |
| 1538644646 | Misty Dawn Spencer | Social Worker | 340 W State St, Jacksonville, IL 62650-2061 | 2018-09-25 |
| 1013401322 | Mental Health Centers of Central Illinois | Clinic/Center | 340 W State St, Jacksonville, IL 62650-2061 | 2018-06-20 |
| 1558736959 | Christina L. Meads | Counselor | 340 W State St, Jacksonville, IL 62650-2061 | 2015-12-10 |
| 1164856407 | Yoli S Holmes | Counselor | 340 W State St, Jacksonville, IL 62650-2061 | 2013-08-22 |
| 1649537747 | Betsy Van Brocklin | Social Worker | 340 W State St, Jacksonville, IL 62650-2061 | 2012-04-13 |
| 1972887156 | Debra K Webb | Social Worker | 340 W State St, Jacksonville, IL 62650-2061 | 2011-10-05 |
| 1225282999 | Mental Health Centers of Central Illinois | Clinic/Center | 340 W State St, Jacksonville, IL 62650 | 2008-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248112 | Timothy Scott Mccann | Counselor | 7400 San Jose Blvd, Jacksonville, FL 32217-3430 | 2020-09-08 |
| 1831700848 | Anil Suthar | Counselor | 11776 Wattle Tree Rd N, Jacksonville, FL 32246-9751 | 2020-08-12 |
| 1700496494 | Debra Jones Lewis | Counselor | 2416 Christi Lakes Ct, Jacksonville, FL 32221-3891 | 2020-08-06 |
| 1992356117 | Nicole Wojcik | Counselor | 221 New Bridge St, Jacksonville, NC 28540-4736 | 2019-09-28 |
| 1700435401 | Lori Svendsen Brown | Counselor | 824 Gum Branch Rd Ste 0, Jacksonville, NC 28540-6272 | 2019-09-05 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1700356367 | Ajay S Lewis | Counselor | 3010 Cobblewood Ln East, Jacksonville, FL 32225 | 2018-11-27 |
| 1144708157 | Anastasia Marie Judge-arauz | Counselor | 187 Howard Rd, Jacksonville, NC 28540-9332 | 2018-08-01 |
| 1720593072 | Cherae Miles | Counselor | 862 Bunker Hill Blvd, Jacksonville, FL 32208-3220 | 2017-12-08 |
| 1083127476 | Heather Watkins | Counselor | 113 Philip St, Jacksonville, TX 75766-3781 | 2017-11-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on TEEGAN ROCHELLE LUND.
| 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.