NPIMap

Organization Active NPI

Compass Counselors LTD.

  • Physician Assistant
  • Bloomington, IL
National Provider Identifier
1225912231
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
COMPASS COUNSELORS LTD.
Practice address
616 Iaa Dr
Bloomington, IL 61701-2225
Phone
(309) 261-6129
NPI assigned
Aug 4, 2025
Organization subpart
Yes
Parent organization
COMPASS COUNSELORS LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
John Leslie FreshourNPI 1902289994
Title
President
Phone
(309) 261-6129

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
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

616 Iaa Dr
Bloomington, IL 61701-2225

Mailing address

616 Iaa Dr
Bloomington, IL 61701-2225
Phone (309) 261-6129

Other practice location 1

1701 Clearwater Ave
Bloomington, IL 61704-6433
Phone (309) 590-6788

Other practice location 2

207 N Plum St
Pontiac, IL 61764-1803
Phone (309) 928-0466

National Provider Directory

National Provider Directory
Tax ID family
Compass Counselors LTD2 organizations share this tax ID, including this one
Part of
Compass Counselors LTD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

616 Iaa Dr
Bloomington, IL 61701
Phone (309) 261-6129

1701 Clearwater Ave
Bloomington, IL 61704
Phone (309) 590-6788

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

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": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1225912231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 IAA DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012225",
            "telephone_number": "309-261-6129",
            "fax_number": "309-261-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 IAA DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012225",
            "telephone_number": "309-261-6129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Clearwater Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IL",
            "postal_code": "617046433",
            "country_code": "US",
            "telephone_number": "309-590-6788",
            "fax_number": "309-808-0617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 N Plum St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "IL",
            "postal_code": "617641803",
            "country_code": "US",
            "telephone_number": "309-928-0466",
            "fax_number": "309-808-0617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPASS COUNSELORS LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPASS COUNSELORS LTD.",
        "enumeration_date": "2025-08-04",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "FRESHOUR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-261-6129"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.