Individual ProviderJamie Lee BlakemanCounselorBehavioral Health & Social Service ProvidersPractice Address2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410(217) 779-7496PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Lee Blakeman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1114358199Provider TypeIndividualFull NameBlakeman, Jamie LeeTitleMrs.CredentialLCPCGenderFemaleSole ProprietorNoEnumeration Date12/2/2013Last Updated4/30/2022Contact InformationPractice LocationPractice Address2151 W White Oaks Dr Ste D, Springfield, IL 62704-6410Phone(217) 779-7496FaxUnlisted FaxMailing LocationMailing Address1717 Cuddy Dr, Chatham, IL 62629-6000Phone(217) 779-7496FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180.009996IllinoisCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense178.009508Illinois