Active NPI
Glynis K Fresia Counseling & Therapy
- Mental Health Counselor
- Peoria, IL
National Provider Identifier
1215747415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GLYNIS K FRESIA COUNSELING & THERAPY
- Practice address
- 6506 N Robinwood Dr
Peoria, IL 61614-2414 - Phone
- (312) 420-7745
- NPI assigned
- Jan 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glynis Fresia, MS, LCPC
- Title
- Owner Operator
- Phone
- (312) 420-7745
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6506 N Robinwood Dr
Peoria, IL 61614-2414
Mailing address
6506 N Robinwood Dr
Peoria, IL 61614-2414
Phone (312) 420-7745
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Peoria, IL
- NPI 1013535152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1215747415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6506 N ROBINWOOD DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142414",
"telephone_number": "312-420-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 N ROBINWOOD DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142414",
"telephone_number": "312-420-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLYNIS K FRESIA COUNSELING & THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-09",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "FRESIA",
"authorized_official_first_name": "GLYNIS",
"authorized_official_title_or_position": "OWNER OPERATOR",
"authorized_official_telephone_number": "312-420-7745",
"authorized_official_credential": "MS, LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental 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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.