MS. MISTY JO CLEMENS M.A. LCPC NPI 1396021069

NPI Information

NPI: 1396021069
Provider Name: MS. MISTY JO CLEMENS, M.A., LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
56 S 65TH ST
SUITE 1
BELLEVILLE, IL
ZIP 62223
Phone: (618) 795-7608
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MS. Misty Jo Clemens, M.A., LCPC is a mental health counselor in Belleville, IL. MS. Misty Jo Clemens, M.A., LCPC NPI is 1396021069. 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:

56 S 65TH ST
SUITE 1
BELLEVILLE, IL
ZIP 62223-945
Phone: (618) 795-7608

The enumeration date for this NPI number is 10/26/2011 and was last updated on 10/26/2011.

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	180.006844	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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