Individual provider Active NPI

Amy N Kelch-Cohen, LCPC, CADC, CPT,EMDR

  • Professional Counselor
  • Peoria, IL
National Provider Identifier
1235672973
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180015321 Issued in IL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
178.012348OtherILLICENSE

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

LicenseStateTypeSpecialty
180015321ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.