MS. MICHELLE DAWN TEBRUGGE MA LCPC NCC NPI 1316281777

NPI Information

NPI: 1316281777
Provider Name: MS. MICHELLE DAWN TEBRUGGE, MA, LCPC, NCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2663 FARRAGUT DR
SUITE A-5
SPRINGFIELD, IL
ZIP 62704
Phone: (217) 899-0108
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MS. Michelle Dawn Tebrugge, MA, LCPC, NCC is a mental health counselor in Springfield, IL. MS. Michelle Dawn Tebrugge, MA, LCPC, NCC NPI is 1316281777. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2663 FARRAGUT DR
SUITE A-5
SPRINGFIELD, IL
ZIP 62704-462
Phone: (217) 899-0108

The enumeration date for this NPI number is 11/24/2012 and was last updated on 5/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	178008478	ILLINOIS	No
2	246QM0706X	Specialist/Technologist, Pathology	Medical Technologist	145265	ILLINOIS	No
3	101YM0800X	Counselor	Mental Health	180010232	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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