ELIZBETH HUSS SECRIST LCPC
NPI 1629694583
Counselor - Professional in Jacksonville, IL

Active since June 17, 2020
340 W STATE ST, JACKSONVILLE, IL 62650(217) 245-6126(217) 245-4296 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizbeth Huss Secrist Lcpc NPPES

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

ELIZBETH HUSS SECRIST LCPC (NPI 1629694583) is an individual professional provider in Jacksonville, Illinois, licensed in Illinois (180.012989) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1629694583
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELIZBETH HUSS SECRISTCredential: LCPC
Location Address340 W STATE STJacksonville, IL 62650-2061
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Fax(217) 245-4296
Sole ProprietorNo
Enumeration DateJune 17, 2020
NPPES CertifiedJune 17, 2020
NPI 1629694583 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 · 180.012989
340 W STATE ST, Jacksonville, IL 62650

Other Identifiers 1

Other180012989IL · Lcpc

Other Providers at the Same Location NPPES 15

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

Clinic/Center (Rehabilitation, Substance Use Disorder)
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Mental Health)
340 W STATE ST
JACKSONVILLE, IL 62650
Licensed Practical Nurse
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Professional)
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Professional)
340 W STATE ST
JACKSONVILLE, IL 62650
Licensed Practical Nurse
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Mental Health)
340 W STATE ST
JACKSONVILLE, IL 62650
Counselor (Mental Health)
340 W STATE ST
JACKSONVILLE, IL 62650

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 Elizbeth Secrist's NPI number?

The NPI number for Elizbeth Secrist is 1629694583. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Elizbeth Secrist located?

Elizbeth Secrist practices at 340 W State St, Jacksonville, IL 62650. The listed phone number is (217) 245-6126.

What is Elizbeth Secrist'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 Elizbeth Secrist was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.