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JAYSHREE PANCHAL MA, LCPC, NCC
NPI 1639594971
Counselor - Professional in Peoria, IL

Active since February 24, 2014
7210 N VILLA LAKE DR STE C, PEORIA, IL 61614(309) 713-1485(309) 419-4328 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jayshree Panchal Ma, Lcpc, Ncc NPPES

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

JAYSHREE PANCHAL MA, LCPC, NCC (NPI 1639594971) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.010474) and active in the NPI registry since February 2014. She maintains a secondary practice location in Pekin.

NPPES Registry Identity

NPI1639594971
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJAYSHREE PANCHALCredential: MA, LCPC, NCC
Location Address7210 N VILLA LAKE DR STE CPeoria, IL 61614-8290
Mailing Address7210 N Villa Lake Dr Ste CPeoria, IL 61614-8290 · (309) 713-1485 · Fax (309) 419-4328
Phone(309) 713-1485
Fax(309) 419-4328
Sole ProprietorNo
Enumeration DateFebruary 24, 2014
Last NPPES UpdateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1639594971 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 · 180.010474
7210 N VILLA LAKE DR STE C, Peoria, IL 61614
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Secondary Practice Location 1

Location 13248 Vandever AvePekin, IL 61554-6257 · Phone (309) 347-5579 · Fax (309) 347-4264

Other Providers at the Same Location NPPES 10

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

MICHELLE MATZKE MA, LCPC
Counselor (Mental Health)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Peoria County (309) 713-1485
KATIE NEIDETCHER LCPC
Counselor (Professional)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Peoria County (309) 713-1485
JULIENNE A CUMMINGS LCSW, RN
Social Worker (Clinical)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Peoria County (309) 713-1485
GRETA LONG
Counselor (Professional)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Peoria County (309) 798-4962
MRS. RACHEL VICTORIA LAMPE MA, LPC
Counselor
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Peoria County (309) 713-1485
HANNAH DOBSON MA,AMFT, QMHP
Marriage & Family Therapist
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Peoria County (309) 713-1485
SHELLY HART MA, LCP
Counselor (Mental Health)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Peoria County (309) 713-1485
SUMMIT FAMILY THERAPY PLLC
Counselor (Professional)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Peoria County (309) 713-1485

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 Jayshree Panchal's NPI number?

The NPI number for Jayshree Panchal is 1639594971. It was assigned to this individual provider in the NPPES registry on February 24, 2014.

Where is Jayshree Panchal located?

Jayshree Panchal practices at 7210 N Villa Lake Dr Ste C, Peoria, IL 61614. The listed phone number is (309) 713-1485.

What is Jayshree Panchal'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 Jayshree Panchal was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.