Healthcare Provider Details

I. General information

NPI: 1538687934
Provider Name (Legal Business Name): NEW LIGHT COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S RANEY ST STE 2
EFFINGHAM IL
62401-4283
US

IV. Provider business mailing address

1300 S RANEY ST STE 2
EFFINGHAM IL
62401-4283
US

V. Phone/Fax

Practice location:
  • Phone: 217-342-7155
  • Fax: 217-342-2390
Mailing address:
  • Phone: 217-342-7155
  • Fax: 217-342-7155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MOSIER
Title or Position: OWNER
Credential: LCPC
Phone: 217-342-7155