MS. LEANNE DEISTER-GOODWIN NPI 1063052298

NPI Information

NPI: 1063052298
Provider Name: MS. LEANNE DEISTER-GOODWIN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
265 STONEGATE RD STE 102
ALGONQUIN, IL
ZIP 60102
Phone: (224) 678-9180
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MS. Leanne Deister-goodwin is a mental health counselor in Algonquin, IL. MS. Leanne Deister-goodwin NPI is 1063052298. 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:

265 STONEGATE RD STE 102
ALGONQUIN, IL
ZIP 60102-614
Phone: (224) 678-9180
Fax: (224) 678-9369

The enumeration date for this NPI number is 1/15/2020 and was last updated on 9/18/2023.

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	101YP2500X	Counselor	Professional	178017418	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	178017418	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: 5/5/2024

NPI Synchronization or Removal

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