Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255807871 Individual Practitioner Female Practitioner

Jennie Mccormick , LPC

Counselor - Professional • Springfield, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jennie Mccormick, LPC is a certified Counselor - Professional practicing in Springfield, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Jennie Mccormick delivers high-quality medical care to the local community at 2200 LAKE VICTORIA DR.

Jennie Mccormick is affiliated with Mind And Body Wellness Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

2200 Lake Victoria Dr

Springfield, IL 627035596

Telephone 2175299266
Associated Practice Facility / Clinic
🏢 Gateway Foundation, Inc. Facility NPI 1326296856

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Springfield, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -3.5 yrs vs City Avg
City Avg: 15.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
192 Specialists

Practicing in Springfield, IL (9683 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccormick (12 Years) 12 Yrs
Springfield Specialty Average (15.5 Years) 15.5 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178013380

Definition to come...

Hospital & Practice Group Affiliations

Mind And Body Wellness Llc

None, Tinley Park, IL 60477

Phone: 7082602030

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Oluwatamilore Odimayo , LPC

Counselor - Professional

NPI 1053878983

Licensed Professional Counselor

Gina Howard , LPC

Counselor - Professional

NPI 1063988491

Licensed Professional Counselor

Sally-Ann Tamizuddin , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1457099277

Advanced Practice Registered Nurse

Dr. Clayton Parks , MD

Psychiatry & Neurology - Psychiatry

NPI 1518346568

Doctor of Medicine (M.D.)

Thomas Beck , LPC

Counselor - Professional

NPI 1518456607

Licensed Professional Counselor

David Bova , LCPC

Counselor - Mental Health

NPI 1679115349

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2018

Registered at 2200 LAKE VICTORIA DR, SPRINGFIELD, IL 627035596 (Tel: 2175299266)

📍
Updated Business Mailing Address October 22, 2018

Registered at 55 E JACKSON BLVD STE 1500, CHICAGO, IL 606044137 (Tel: 3126631130)

👤
Provider Name / Credentials Updated October 22, 2018

Recorded as JENNIE MCCORMICK, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2018

Counselor (License #178013380 in IL)

🟢
Initial NPI Registration & Enumeration October 22, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255807871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2018
Last Update: October 22, 2018
Sole Proprietor: No

Mailing Address

55 E Jackson Blvd Ste 1500

Chicago, IL 606044137

Phone: 3126631130

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.