Jacquelyn Mitra, LCPC

ActiveIndividual ProviderMental Health Counselor
NPI issued: November 7, 2008

Quick Facts

NPI Number
1619121373
TypeIndividual
StatusActive
SpecialtyMental Health Counselor
Taxonomy101YM0800X — Mental Health Counselor
Phone
(309) 862-0064
StateIL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1619121373)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (November 7, 2008)
Data source: CMS NPPES

Provider Overview

JACQUELYN MITRA, LCPC is a Mental Health Counselor provider based in Normal, IL who has been registered with CMS since 2008. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1619121373
Provider TypeIndividual Provider
GenderFemale
CredentialLCPC
StatusActive
Enumeration DateNovember 7, 2008

Practice Location

CityNormal
StateIL
ZIP Code61761-1979
Phone(309) 862-0064

Specialties & Licenses

★ Primary
SpecialtyMental Health Counselor
Taxonomy Code101YM0800X
License StateIL

Mailing Address

CityNormal
StateIL
ZIP Code61761-1979
Phone(309) 862-0064
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1619121373 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1619121373for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1619121373 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Mental Health Counselor

Mental Health Counselors diagnose and treat mental and emotional disorders, helping clients cope with life challenges, anxiety, depression, relationship issues, and overall mental wellness.

Browse all Mental Health Counselorproviders →
📊
333,922
Mental Health Counselor Providers in the US

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People Also Ask

What is Jacquelyn Mitra's NPI number?
Jacquelyn Mitra's NPI number is 1619121373, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jacquelyn Mitra's NPI currently active?
Yes, Jacquelyn Mitra's NPI status is Active as of the latest CMS NPPES database updates.
What does Jacquelyn Mitra specialize in?
Jacquelyn Mitra specializes in Mental Health Counselor. The healthcare taxonomy code associated with this specialty is 101YM0800X.
Where does Jacquelyn Mitra practice?
Jacquelyn Mitra practices in Normal, IL 61761-1979.
When was Jacquelyn Mitra's NPI issued?
Jacquelyn Mitra's NPI was issued on November 7, 2008.
What is Jacquelyn Mitra's provider type?
Jacquelyn Mitra is registered as an Individual Provider under CMS NPI Type 1.