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NPI Code Detail

MEDICARE: JILL KATHLEEN PIPER MS LCPC

MEDICARE: JILL KATHLEEN PIPER MS LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor180.004258IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180004258OTHERILPROFESSIONAL LICENSE #

General Provider Information

NPI Number : 1427164821
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL KATHLEEN PIPER MS LCPC
Provider Business Mailing Address
First Line : 109 CALIFORNIA ST
Second Line : PO BOX 577
City : CARTERVILLE
State : IL
Zip : 62918-0548
Country : US
Telephone Number : 618-519-9200
Fax Number : 618-985-4635
Provider Business Practice Location Address
First Line : 3111 WILLIAMSON COUNTY PKWY
Second Line :
City : MARION
State : IL
Zip : 62959-5235
Country : US
Telephone Number : 618-519-9200
Fax Number : 618-985-9155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 02/02/2023

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