Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREY LAVERNE MCKINNEY
Deactivated Sole ProprietorJEREY LAVERNE MCKINNEY is a Mental Health Counselor healthcare provider located in BLOOMINGTON, Illinois. NPI 1083815617 is deactivated in the NPPES registry. Verify at CMS.
Mental Health Counselor · BLOOMINGTON, IL
This NPI has been deactivated.
The record was deactivated on July 26, 2012.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1083815617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2007 (5.1561643835616 yrs)
- Last Updated
- Oct 13, 2021
- Deactivated
- Jul 26, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
211 N. VETERANS PKWY. SUITE #1BLOOMINGTON, IL, 61704Browse IL providers · Browse ZIP 61704
- Phone
- 3096632229
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| SUZANNE KISHEL | LCPC | 1801824073 |
| BRYAN DEAN HEINE | — | 1093826356 |
| JULIE ANN BROWN | — | 1659482099 |
| CHERYL WALTON STRONG | — | 1356443550 |
| STEPHEN M BEMILLER | — | 1659473841 |
| JOSHUA MICHAEL WHEELER | — | 1043312242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.