Organization Active NPI

Glynis K Fresia Counseling & Therapy

  • Mental Health Counselor
  • Peoria, IL
National Provider Identifier
1215747415
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Glynis Fresia, MS, LCPCNPI 1013535152
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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": "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.

Verify at the official NPI Registry.