IndividualActive
Jeanette Georgen, MA, LCPC, ATR
NPI 1124065602 · Professional Counselor · Fairview Heights, IL
Provider details
- NPI number
- 1124065602
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LCPC, ATR
- Sex
- Female
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10314 Lincoln Trl
Suite 101
Fairview Heights, IL 62208-1801
Phone: (618) 394-8952
Fax: (618) 394-8952
Street-level locationGet directions
Mailing address
10314 Lincoln Trl
Fairview Heights, IL 62208-1801
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.