LAKYN JEREMIAH
NPI 1811563364
Counselor - Mental Health in Dixon, IL
Active since June 03, 2021
About Lakyn Jeremiah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKYN JEREMIAH (NPI 1811563364) is an individual mental health provider in Dixon, Illinois and active in the NPI registry since June 2021.
NPPES Registry Identity
NPI1811563364
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAKYN JEREMIAH
Location Address325 ILLINOIS RT 2Dixon, IL 61021-9118
Mailing Address325 Illinois Rt 2Dixon, IL 61021-9118 · (815) 284-6611
Phone(815) 284-6611
Sole ProprietorNo
Enumeration DateJune 3, 2021
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1811563364 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X · License 150118187 (IL)
325 ILLINOIS RT 2, Dixon, IL 61021
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.
Counselor (Addiction (Substance Use Disorder))
325 ILLINOIS RT 2
DIXON, IL 61021
DIXON, IL 61021
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811563364, enumerated as an "individual" on June 03, 2021.
The provider is located at 325 ILLINOIS RT 2 DIXON, IL 61021 and the phone number is (815) 284-6611.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
