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ELIZABETH JEREMIAH MA, QMHP, LCPC, LPHA
NPI 1023408200
Counselor in Shiloh, IL

Active since January 27, 2015
1161 FORTUNE BLVD STE 400, SHILOH, IL 62269(618) 303-7544(618) 206-8476 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2020, Mar 17, 2018, Aug 1, 2017 and 1 more (4 updates tracked since 2017).

About Elizabeth Jeremiah Ma, Qmhp, Lcpc, Lpha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH JEREMIAH MA, QMHP, LCPC, LPHA (NPI 1023408200) is an individual counselor in Shiloh, Illinois, licensed in Illinois (180.009474) and active in the NPI registry since January 2015. She maintains a secondary practice location in Granite City.

NPPES Registry Identity

NPI1023408200
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameELIZABETH JEREMIAHCredential: MA, QMHP, LCPC, LPHA
Location Address1161 FORTUNE BLVD STE 400Shiloh, IL 62269-7385
Mailing Address6432 Hancock AveSaint Louis, MO 63139-2033 · (618) 303-7544 · Fax (618) 206-8476
Phone(618) 303-7544
Fax(618) 206-8476
Sole ProprietorYes
Enumeration DateJanuary 27, 2015
Last NPPES UpdateJanuary 24, 20204 updates tracked since enumeration
✔ NPI 1023408200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180.009474
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 180.009474 (IL)
1161 FORTUNE BLVD STE 400, Shiloh, IL 62269
Open in Google Maps ↗

Secondary Practice Location 1

Location 150 Northgate Industrial DrGranite City, IL 62040-6805 · Phone (618) 789-1959

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA BENSON COUNSELING, LLC
Counselor (Professional)
1161 FORTUNE BLVD STE 400
SHILOH, IL 62269
St. Clair County (618) 830-8146
STILL WATERS WELLNESS COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1161 FORTUNE BLVD STE 400
O FALLON, IL 62269
St. Clair County (314) 884-1443
PENELOPE J PRESTON COUNSELING
Counselor (Professional)
1161 FORTUNE BLVD STE 400
O FALLON, IL 62269
St. Clair County (618) 409-6062
INGRAM COUNSELING SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1161 FORTUNE BLVD STE 400
SHILOH, IL 62269
St. Clair County (314) 722-8281
SCHUYLER CZECH
Social Worker (Clinical)
1161 FORTUNE BLVD STE 400
SHILOH, IL 62269
St. Clair County (314) 884-1443
MS. TINA MARIE KAMPWERTH LCPC
Counselor (Professional)
1161 FORTUNE BLVD STE 400, SUITE 400
SHILOH, IL 62269
St. Clair County (618) 795-0630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Jeremiah's NPI number?

The NPI number for Elizabeth Jeremiah is 1023408200. It was assigned to this individual provider in the NPPES registry on January 27, 2015.

Where is Elizabeth Jeremiah located?

Elizabeth Jeremiah practices at 1161 Fortune Blvd Ste 400, Shiloh, IL 62269. The listed phone number is (618) 303-7544.

What is Elizabeth Jeremiah's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Jeremiah was last updated on January 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.