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MRS. JESSICA MICHELLE BULTHOUSE M.S. LCPC NPI 1659620458


NPI Information

NPI: 1659620458
Provider Name: MRS. JESSICA MICHELLE BULTHOUSE, M.S., LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
304 8TH ST
CHARLESTON, IL
ZIP 61920
Phone: (217) 508-7415
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MRS. Jessica Michelle Bulthouse, M.S., LCPC is a professional counselor in Charleston, IL. MRS. Jessica Michelle Bulthouse, M.S., LCPC NPI is 1659620458. 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:

304 8TH ST
CHARLESTON, IL
ZIP 61920-504
Phone: (217) 508-7415

The enumeration date for this NPI number is 9/7/2012 and was last updated on 5/18/2015.


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
1101YP2500XCounselorProfessional178.008309ILLINOISNo
2101YP2500XCounselorProfessional180009706ILLINOISYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.