CHARLEE FRITSCHE NPI 1467926956

NPI Information

  • NPI: 1467926956
  • Provider Name: CHARLEE FRITSCHE
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 904 MARTIN LUTHER KING DRIVE
    CENTRALIA, IL
    ZIP 62801
  • Phone: (618) 533-1391

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NPI Details

Charlee Fritsche is a counselor in Centralia, 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. Charlee Fritsche NPI is 1467926956. 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:

904 MARTIN LUTHER KING DRIVE
CENTRALIA, IL
ZIP 62801-058
Phone: (618) 533-1391
Fax: (618) 533-0012

The enumeration date for this NPI number is 1/17/2019 and was last updated on 1/17/2019.

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
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1370915481007MEDICAIDILLINOIS

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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