JANE EMILY KLINGBERG COUNSELOR NPI 1265023352

NPI Information

NPI: 1265023352
Provider Name: JANE EMILY KLINGBERG, COUNSELOR
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
115 ATKINSON DR
SUGAR GROVE, IL
ZIP 60554
Phone: (708) 288-2936
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Jane Emily Klingberg, COUNSELOR is a mental health counselor in Sugar Grove, IL. Jane Emily Klingberg, COUNSELOR NPI is 1265023352. 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:

115 ATKINSON DR
SUGAR GROVE, IL
ZIP 60554-269
Phone: (708) 288-2936

The enumeration date for this NPI number is 2/1/2021 and was last updated on 12/7/2021.

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	178000697	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	178000697	ILLINOIS	Yes

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
1	178000697	OTHER	ILLINOIS	ILLINOIS COUNSELOR LICENSE NUMBER

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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