Connie Nichole Lundgren

Professional Counselor · Bloomington, IL

Individual Active NPI

NPI number 1427930486

Practice location

1709 Jumer Dr Ste a
Bloomington, IL 61704-0914
Phone
(309) 463-5800
Fax
(833) 914-2704

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NPI record

NPI
1427930486
Entity type
Individual (Type 1)
Enumeration date
July 22, 2025
Last updated
July 22, 2025
Certified
July 22, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X 178.021777 IL

Mailing address

307 N Pearl St
Le Roy, IL 61752-1560
Phone
(217) 521-2671

About Connie Lundgren

Connie Nichole Lundgren is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 1709 Jumer Dr Ste a, Bloomington, IL 61704-0914. The NPI number 1427930486 was assigned on July 22, 2025 and the record was last updated on July 22, 2025.

Connie Lundgren lists a license in the registry: #178.021777 (IL) for Professional Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Connie Nichole Lundgren?

The NPI number is 1427930486.

What is the phone number of Connie Lundgren?

The phone number listed for the practice location is (309) 463-5800.

Where is Connie Lundgren located?

1709 Jumer Dr Ste a, Bloomington, IL 61704-0914.

What is the taxonomy code for Connie Lundgren?

The primary taxonomy code is 101YP2500X – Professional Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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