Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN BACKUS, MA, LCPC
Active Sole ProprietorKATHLEEN BACKUS, MA, LCPC is a Mental Health Counselor healthcare provider located in BLOOMINGTON, Illinois. NPI 1871782805 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1871782805
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2007 (18.798403493809 yrs)
- Last Updated
- Jan 23, 2025
- Licenses
-
180004305 (IL)180004305 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
808 S ELDORADO RD STE 102BLOOMINGTON, IL, 617046075Browse IL providers · Browse ZIP 61704
- Phone
- 3092126007
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
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.