Jennifer Leigh Lippold, is a
Psychologist - Clinical based in De Soto, Illinois. Jennifer Leigh Lippold is licensed to practice in Illinois (license number 071.022603) and her current practice location is
505 Lexington St, De Soto, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 908-9146.
NPI number for Jennifer Leigh Lippold is 1558295972 and her current mailing address is 505 Lexington St, De Soto, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558295972.
Healthcare Provider's Profile
| Full Name | Jennifer Leigh Lippold |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 505 Lexington St, De Soto, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558295972
- Provider Enumeration Date: 06/10/2026
- Last Update Date: 06/10/2026
Medical Identifiers
Medical identifiers for Jennifer Leigh Lippold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558295972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 071.022603 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Leigh Lippold is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jennifer Leigh Lippold, 505 Lexington St, De Soto, IL 62924-1021 Ph: (815) 908-9146 | Jennifer Leigh Lippold, 505 Lexington St, De Soto, IL 62924-1021 Ph: (815) 908-9146 |
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