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Jacquelyn Mitra, LCPC
NPI 1619121373 · Mental Health Counselor · Normal, IL
Jacquelyn Mitra, LCPC is a Mental Health Counselor provider in Normal, IL (NPI 1619121373).
Provider details
- NPI number
- 1619121373
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- License
- 180 006966 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% 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
405 Kays Dr
Suite B
Normal, IL 61761-1979
Phone: (309) 862-0064
Fax: (309) 862-1542
Street-level locationGet directions
Mailing address
405 Kays Dr
Normal, IL 61761-1979
Registry dates
- Enumerated
- 2008-11-07
- Last updated
- 2010-02-01
Frequently asked questions
- What is Jacquelyn Mitra's NPI number?
- Jacquelyn Mitra's National Provider Identifier (NPI) is 1619121373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Mitra's specialty?
- Jacquelyn Mitra is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jacquelyn Mitra located?
- Jacquelyn Mitra's practice location on file with NPPES is 405 Kays Dr, Normal, IL 61761-1979.
- What is Jacquelyn Mitra's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Mitra is (309) 862-0064.
- Is Jacquelyn Mitra's NPI active?
- Yes — Jacquelyn Mitra's NPI (1619121373) is active in the NPPES registry as of the last update on 2010-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.