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Jamie Laurson

Counselor β€’ Bloomington, IL

Active NPI 1720376221 Individual Practitioner Female Practitioner
Practice location in NPPES

2416 E Washington Street, #a3
Bloomington, IL 61704

Call 3092423975 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2416 E Washington Street
#a3

Bloomington, IL 61704

Telephone 3092423975
Organization at the Same NPPES Address or Phone
Jamie Laurson Lcpc Pllc Facility NPI 1346902632

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bloomington and Illinois

39 active clinicians are listed under Counselor with a practice address in Bloomington, IL (3,805 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

0% of these 39 clinicians have the CMS telehealth indicator.

0% of these 39 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-10-05
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES IL 180.006977

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 05, 2021

Registered at 2416 E WASHINGTON STREET, #A3, BLOOMINGTON, IL 61704 (Tel: 3092423975)

πŸ“
Updated Business Mailing Address October 05, 2021

Registered at 2416 E WASHINGTON STREET, #A3, BLOOMINGTON, IL 61704 (Tel: 3092423975)

βœ…
NPI Profile Active July 18, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 18, 2011

Registered at 702 W. CHESTNUT STREET, BLOOMINGTON, IL 61701 (Tel: 3098276026)

πŸ“
Business Mailing Address (Initial Record) July 18, 2011

Registered at 702 W. CHESTNUT STREET, BLOOMINGTON, IL 61701

πŸ‘€
Provider Name / Credentials (Initial Record) July 18, 2011

Recorded as JAMIE LAURSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2011

Counselor (license number reported to NPPES: IL 180.006977)

🟒
Initial NPI Registration & Enumeration July 18, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1720376221
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2011
Last Update: October 05, 2021
Sole Proprietor: No

Mailing Address

2416 E Washington Street, #a3

Bloomington, IL 61704

Phone: 3092423975

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.