Mrs. Jacquelyn A Mitra, LCPC

Mrs. Jacquelyn A Mitra is a Mental Health Counselor provider (Counselor) practicing in Normal, IL, registered in the NPPES registry with NPI 1619121373 since 2008.

✓ Active NPI ✓ Valid NPI checksum

NPI	1619121373
Entity type	Individual (Type 1)
Name	Mrs. Jacquelyn A Mitra
Credential	LCPC
Sex	Female
Practice address	405 KAYS DR, SUITE B, Normal, IL, 61761
Phone	3098620064
Fax	3098621542
Enumeration date	2008-11-07
Last updated in NPPES	2010-02-01

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
101YM0800X	Mental Health Counselor	Primary	180 006966	IL

Copy-ready billing details

Provider: Jacquelyn Mitra, LCPC
NPI: 1619121373
Taxonomy: 101YM0800X (Mental Health Counselor)
Address: 405 KAYS DR, SUITE B, Normal, IL, 61761

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1346259140	Patrick Carroll	Individual	Professional Counselor	Normal, IL
1265510507	Annette Larsen	Individual	Professional Counselor	Normal, IL
1881727287	Linda Hokanson	Individual	Clinical Social Worker	Normal, IL
1881820405	Dawn Leedie	Individual	Professional Counselor	Normal, IL
1023744513	Ayrielle Ehlers	Individual	Professional Counselor	Normal, IL
1215765599	Heidi Simpson	Individual	Social Worker	Normal, IL
1033048251	Sheri Bettis	Individual	Mental Health Counselor	Normal, IL

Verify this record

Cross-check NPI 1619121373 against the authoritative CMS record: view Mrs. Jacquelyn A Mitra on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Is NPI 1619121373 active?

Yes — as of the latest NPPES snapshot, NPI 1619121373 is active (record last updated 2010-02-01).

How do I verify Jacquelyn Mitra's NPI record?

Cross-check NPI 1619121373 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-02-01.