Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanie Mickelsen, LCPC

Individual provider Social Worker · NPI 1710510136

Jeanie Mickelsen, LCPC is a Mental Health Counselor in Champaign, Illinois. Qualified in 2013, 13 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
13
In the registry since
2020
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1802 S Mattis Ave
Champaign, IL 61821-5923
Phone: (217) 383-1850
Fax: (217) 383-3439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1710510136
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedFebruary 13, 2020
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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