Fullriede Professional Counseling Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FULLRIEDE PROFESSIONAL COUNSELING INC.

Practice address

2404 E Empire St # 110
Bloomington, IL 61704-3630

Phone

(815) 584-6383

NPI assigned

May 23, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashley Fae Fullriede, LCPCNPI 1821701996

Title

President

Phone

(815) 584-6383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Fullriede, LPC

  • Mental Health Counselor
  • Bloomington, IL
  • NPI 1821701996
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1043140650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 E EMPIRE ST STE 110",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043630",
            "telephone_number": "815-584-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E EMPIRE ST # 110",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043630",
            "telephone_number": "815-584-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLRIEDE PROFESSIONAL COUNSELING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "FULLRIEDE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "FAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-584-6383",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Mattea Friedt, DC
• Frist Anchor, LLC
• Jessica Lyn Fry
• Taylor Rose Fulgham, CNA
• Adrianne Marie Fuller, L.M.T.
• Ashley Fullriede, LPC
• Anne Fulton, SLP
• John Robert Fults, O.D.
• Patricia Furnace, N.P.
• Mickey A Fuson, D.C.

• Mental Health Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.