CONNIE NICHOLE LUNDGREN
NPI 1427930486
Counselor - Professional in Bloomington, IL

Active since July 22, 2025
1709 JUMER DR STE A, BLOOMINGTON, IL 61704(309) 463-5800(833) 914-2704 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Connie Nichole Lundgren NPPES

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

CONNIE NICHOLE LUNDGREN (NPI 1427930486) is an individual professional provider in Bloomington, Illinois, licensed in Illinois (178.021777) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1427930486
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCONNIE NICHOLE LUNDGREN
Location Address1709 JUMER DR STE ABloomington, IL 61704-0914
Mailing Address307 N Pearl StLe Roy, IL 61752-1560 · (217) 521-2671
Fax(833) 914-2704
Sole ProprietorYes
Enumeration DateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1427930486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 178.021777
1709 JUMER DR STE A, Bloomington, IL 61704

Other Providers at the Same Location NPPES 16

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

Occupational Therapy Assistant
1709 JUMER DR STE A
BLOOMINGTON, IL 61704
Counselor
1709 JUMER DR STE A
BLOOMINGTON, IL 61704
Community/Behavioral Health
1709 JUMER DR STE A
BLOOMINGTON, IL 61704
Registered Nurse (Psychiatric/Mental Health)
1709 JUMER DR STE A
BLOOMINGTON, IL 61704
Counselor (Professional)
1709 JUMER DR STE A
BLOOMINGTON, IL 61704
Social Worker
1709 JUMER DR STE A
BLOOMINGTON, IL 61704
Nurse Practitioner (Psychiatric/Mental Health)
1709 JUMER DR STE A
BLOOMINGTON, IL 61704
Counselor (Mental Health)
1709 JUMER DR STE A
BLOOMINGTON, IL 61704

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 Connie Lundgren's NPI number?

The NPI number for Connie Lundgren is 1427930486. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Where is Connie Lundgren located?

Connie Lundgren practices at 1709 Jumer Dr Ste A, Bloomington, IL 61704. The listed phone number is (309) 463-5800.

What is Connie Lundgren's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Connie Lundgren was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.