| Jenelle Thompson-keene, LCPC, CADC | |
|
2504 Cherry Hills Dr, Champaign, IL 61822-7507 | |
| (217) 417-2913 | |
| Not Available |
| Full Name | Jenelle Thompson-keene |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2504 Cherry Hills Dr, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174208581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 180005320 (Illinois) | Primary |
| Entity Name | Thriveworks Clinical - Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164190633 PECOS PAC ID: 6800263823 Enrollment ID: O20221104000575 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenelle Thompson-keene, LCPC, CADC 2504 Cherry Hills Dr, Champaign, IL 61822-7507 Ph: (217) 417-2913 | Jenelle Thompson-keene, LCPC, CADC 2504 Cherry Hills Dr, Champaign, IL 61822-7507 Ph: (217) 417-2913 |
Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 | |
Marie Duffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820 Phone: 217-531-2360 | |
Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035 | |
Erica Taylor, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2125 S Neil St, Champaign, IL 61820 Phone: 217-352-0200 Fax: 217-607-1139 | |
Rachel Cooper Brown, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077 | |
Kenya Kelly, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 106 S Country Fair Dr, Champaign, IL 61821 Phone: 217-255-3922 | |
Mrs. Anne Marie Tormos, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 206 N Randolph St Ste 246, Champaign, IL 61820 Phone: 833-351-8255 |