1. Home
  2. Directory
  3. Illinois
  4. Carterville
  5. Counselor
  6. NPI Profile

JENNIFER SUE DEROSIA LPN
NPI 1689966350
Counselor in Carterville, IL

Active since May 12, 2011
403 MUNICIPAL DR, CARTERVILLE, IL 62918(855) 608-3560(618) 956-9349 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Sue Derosia Lpn NPPES

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

JENNIFER SUE DEROSIA LPN (NPI 1689966350) is an individual counselor in Carterville, Illinois and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1689966350
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER SUE DEROSIACredential: LPN
Location Address403 MUNICIPAL DRCarterville, IL 62918-2042
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440
Phone(855) 608-3560
Fax(618) 956-9349
Sole ProprietorNo
Enumeration DateMay 12, 2011
Last NPPES UpdateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1689966350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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 ListedLicensed Practical NurseTaxonomy 164W00000X · License 043077866 (IL)
403 MUNICIPAL DR, Carterville, IL 62918
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Sue Good Lpn

Other Providers at the Same Location NPPES 20

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

JODI BRADLEY ADN, RN
Registered Nurse
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
MS. LISA MARIE KOEGLER MS,LCPC
Counselor (Mental Health)
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
ANNA WALKER MSW,LCSW
Social Worker (Clinical)
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3656
BRIDGETT HOLDER MSW, MHP
Counselor (Mental Health)
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
TAMARA SAMPLES MS
Counselor
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
DANIELLE CONNER MSW, LSW
Social Worker
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
CHARMONIQUE ROGERS MA
Counselor
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560
ERICH PILZ
Counselor
403 MUNICIPAL DR
CARTERVILLE, IL 62918
Williamson County (855) 608-3560

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 Jennifer Derosia's NPI number?

The NPI number for Jennifer Derosia is 1689966350. It was assigned to this individual provider in the NPPES registry on May 12, 2011. The provider is also known as Jennifer Sue Good Lpn.

Where is Jennifer Derosia located?

Jennifer Derosia practices at 403 Municipal Dr, Carterville, IL 62918. The listed phone number is (855) 608-3560.

What is Jennifer Derosia'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 Jennifer Derosia was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.