Organization Active NPI

Meredith Messina LCPC PLLC

  • Community/Behavioral Health Agency
  • Peoria, IL
National Provider Identifier
1104536366
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MEREDITH MESSINA LCPC PLLC
Practice address
4507 N Sterling Ave Ste 300a
Peoria, IL 61615-3824
Phone
(309) 323-0032
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Meredith Messina, LCPCNPI 1427209295
Title
Owner/Therapist
Phone
(309) 323-0032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4507 N Sterling Ave Ste 300a
Peoria, IL 61615-3824

Mailing address

4507 N Sterling Ave Ste 300a
Peoria, IL 61615-3824
Phone (309) 323-0032

National Provider Directory

National Provider Directory

Locations

4507 N Sterling Ave
Ste 300A
Peoria, IL 61615
Phone (309) 323-0032

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1104536366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 N STERLING AVE STE 300A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153824",
            "telephone_number": "309-323-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 N STERLING AVE STE 300A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153824",
            "telephone_number": "309-323-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH MESSINA LCPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "MESSINA",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "309-323-0032",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.