MEDICARE: MRS. JANET ELIZABETH HAY 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
1	101YP2500X	Professional Counselor	180005333	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11537510	OTHER	IL	CAQH
2	0000132022	OTHER	IL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1053503839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANET ELIZABETH HAY LCPC

Provider Business Mailing Address
First Line	:	3701 E LAKE CTR
Second Line	:	SUITE 7
City	:	QUINCY
State	:	IL
Zip	:	62305-5842
Country	:	US
Telephone Number	:	217-653-5454
Fax Number	:	217-221-9398

Provider Business Practice Location Address
First Line	:	3701 E LAKE CTR
Second Line	:	SUITE 7
City	:	QUINCY
State	:	IL
Zip	:	62305-5842
Country	:	US
Telephone Number	:	217-653-5454
Fax Number	:	217-221-9398

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	11/06/2013

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