ELIZBETH HUSS SECRIST LCPC
NPI 1629694583
Counselor - Professional in Jacksonville, IL

NPI Status: Active since June 17, 2020

Contact Information

340 W STATE ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-6126
Fax: (217) 245-4296

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  • Individual
  • Female
  • Counselor
  • Professional

About ELIZBETH SECRIST

This page provides the complete NPI Profile along with additional information for Elizbeth Secrist, a provider established in Jacksonville, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1629694583 assigned on June 2020. The practitioner's primary taxonomy code is 101YP2500X with license number 180.012989 (IL). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1629694583
Provider Name
ELIZBETH HUSS SECRIST LCPC
Gender
Female
Entity Type
Individual
Location Address
340 W STATE ST JACKSONVILLE, IL 62650
Location Phone
(217) 245-6126
Location Fax
(217) 245-4296
Mailing Address
PO BOX 3428 SPRINGFIELD, IL 62708
Mailing Phone
(800) 577-5368
Mailing Fax
(217) 245-4296
Is Sole Proprietor?
No
Enumeration Date
06-17-2020
Last Update Date
06-17-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
180.012989
License State
IL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
180012989OTHER (01)ILLCPC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629694583
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26491298516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 1 + 2 + 9 + 8 + 5 + 1 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1629694583 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437128006 KATHY MOORE DYSON LCPC
Individual
Counselor (Mental Health)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1821067315 DENISE A. LOVELAND LCSW
Individual
Social Worker (Clinical)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1740259951 JOAN M. ALEXANDER R.N.
Individual
Registered Nurse (Psychiatric/Mental Health, Adult)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1013986280 ROBERT L. HEAPE LCPC
Individual
Counselor (Mental Health)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1679533442 JANET PAULINE MILBURN LCPC
Individual
Counselor (Mental Health)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1316068042 DONNA J ALBERS LPN
Individual
Licensed Practical Nurse340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1023233665 BARBARA K SCHNEPPER LPN
Individual
Licensed Practical Nurse340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1417112368 CARL L KLEMAIER LCPC
Individual
Counselor (Mental Health)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1972887156 DEBRA K WEBB LCSW
Individual
Social Worker (Clinical)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1164856407MS. YOLI S HOLMES LCPC
Individual
Counselor (Professional)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1649537747MRS. BETSY VAN BROCKLIN MSW
Individual
Social Worker (Clinical)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1699253815 TEEGAN ROCHELLE LUND LCPC
Individual
Counselor (Professional)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1538644646 MISTY DAWN SPENCER
Individual
Social Worker (Clinical)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126
1063058113 NORA A BISHOP LCPC
Individual
Counselor (Professional)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 523-2217
1013401322MENTAL HEALTH CENTERS OF CENTRAL ILLINOIS
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)340 W STATE ST
JACKSONVILLE, IL 62650
(217) 245-6126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629694583, enumerated in the NPI registry as an "individual" on June 17, 2020

The provider is located at 340 W State St Jacksonville, Il 62650 and the phone number is (217) 245-6126

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 17, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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