JULIA JORDAN-LAKE NPI 1447880513

NPI Information

  • NPI: 1447880513
  • Provider Name: JULIA JORDAN-LAKE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 7421 MADISON ST
    FOREST PARK, IL
    ZIP 60130
  • Phone: (615) 975-2774

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NPI Details

Julia Jordan-lake is a mental health counselor in Forest Park, IL. Julia Jordan-lake NPI is 1447880513. 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:

7421 MADISON ST
FOREST PARK, IL
ZIP 60130-575
Phone: (615) 975-2774

The enumeration date for this NPI number is 1/17/2020 and was last updated on 1/20/2020.

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
1101YM0800XCounselorMental Health178.015637ILLINOISYes

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: 3/30/2025

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