Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. THOMAS ELLSWORTH JENKINS, MA, LPC
Active Sole ProprietorMR. THOMAS ELLSWORTH JENKINS, MA, LPC is a Professional Counselor healthcare provider located in NORMAL, Illinois. NPI 1538613237 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · NORMAL, IL
Registration Details
- NPI Number
- 1538613237
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2016 (9.9808747088998 yrs)
- Last Updated
- Aug 10, 2016
- License
-
178.004186 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
705 E LINCOLN STNORMAL, IL, 617616406Browse IL providers · Browse ZIP 61761
- Phone
- 3094519495
- Fax
- 3094519404
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| PATRICK J. CARROLL | LCSW | 1346259140 |
| MS. PAMELA JO ELLIOTT | LCPC NCC | 1841200904 |
| THOMAS WINN NYLUND | — | 1588757413 |
| ANNETTE M LARSEN | LCPC | 1265510507 |
| MRS. SUSAN M KEOGH | LCPC | 1548348659 |
| AMY LOUISE BROOKE | LCPC | 1578605317 |
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.