JANIS LYNN FRAGEMAN, BA - NPI NUMBER 1023104692

Summary

Provider Name: JANIS LYNN FRAGEMAN, BA

NPI Number: 1023104692

Clasification: Counselor (101Y00000X)

Address:
4409 MAINE
QUINCY, IL
ZIP 62305

Phone Number: (217) 223-0423



Detailed Information

Janis Lynn Frageman, BA is a counselor in Quincy, IL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master�s degree and clinical experience and supervision for licensure or certification. The assigned NPI number for this provider is 1023104692 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

4409 MAINE
QUINCY, IL
ZIP 62305-646
Phone: (217) 223-0423
Fax: (217) 223-0461

The enumeration date for this NPI number is 10/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

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 101Y00000X Counselor Yes

NPI Record

No. Field Name Field Value
1 NPI 1023104692
2 Entity Type Code 1
3 Provider Last Name Legal Name FRAGEMAN
4 Provider First Name JANIS
5 Provider Middle Name LYNN
6 Provider Credential Text BA
7 Provider First Line Business Practice Location Address 4409 MAINE
8 Provider Business Practice Location Address City Name QUINCY
9 Provider Business Practice Location Address State Name IL
10 Provider Business Practice Location Address Postal Code 623053646
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2172230423
13 Provider Business Practice Location Address Fax Number 2172230461
14 Provider Enumeration Date 10/4/2006
15 Last Update Date 7/8/2007
16 Provider Gender Code F
17 Healthcare Provider Taxonomy Code 1 101Y00000X
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Sole Proprietor N

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 7/15/2014
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.