Active NPI
Amy N Kelch-Cohen, LCPC, CADC, CPT,EMDR
- Professional Counselor
- Peoria, IL
National Provider Identifier
1235672973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180015321
- Practice address
- 1605 W Candletree Dr Ste 101
Peoria, IL 61614-1596 - Phone
- (309) 676-0538
- Fax
- (309) 214-0096
- NPI assigned
- Nov 29, 2016
- Last updated
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180015321 | IL | Primary |
Addresses
Primary practice location
1605 W Candletree Dr Ste 101
Peoria, IL 61614-1596
Mailing address
228 E Oak Park Dr
Peoria, IL 61614-7412
Phone (309) 472-5283
Other practice location 1
7625 N University St Ste B1
Peoria, IL 61614-8304
Phone (309) 676-0538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178.012348 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180015321 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Balance Counseling Peoria, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Peoria, IL
- NPI 1467065672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1235672973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 E OAK PARK DR",
"city": "PEORIA",
"state": "IL",
"postal_code": "616147412",
"telephone_number": "309-472-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 W CANDLETREE DR STE 101",
"city": "PEORIA",
"state": "IL",
"postal_code": "616141596",
"telephone_number": "309-676-0538",
"fax_number": "309-214-0096"
}
],
"practiceLocations": [
{
"address_1": "7625 N University St Ste B1",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616148304",
"country_code": "US",
"telephone_number": "309-676-0538",
"fax_number": "309-214-0096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELCH-COHEN",
"first_name": "AMY",
"middle_name": "N",
"credential": "LCPC, CADC, CPT,EMDR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180015321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "178.012348",
"state": "IL"
}
],
"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 Jun 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.