MS. JEANNE LOUISE STAIVISKY CAS MAC LPC LMHC NPI 1487620225

NPI Information

NPI: 1487620225
Provider Name: MS. JEANNE LOUISE STAIVISKY, CAS, MAC, LPC, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
BLANCHFIELD ARMY COMMUNITY HOSPITAL
650 JOEL DRIVE
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 798-8372
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MS. Jeanne Louise Staivisky, CAS, MAC, LPC, LMHC is a mental health counselor in Fort Campbell, KY. MS. Jeanne Louise Staivisky, CAS, MAC, LPC, LMHC NPI is 1487620225. 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:

BLANCHFIELD ARMY COMMUNITY HOSPITAL
650 JOEL DRIVE
FORT CAMPBELL, KY
ZIP 42223-349
Phone: (270) 798-8372
Fax: (270) 956-0180

The enumeration date for this NPI number is 2/23/2006 and was last updated on 7/8/2007.

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	39000646A	INDIANA	Yes
2	101YP2500X	Counselor	Professional		ILLINOIS	X

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

NPI Synchronization or Removal

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