Organization Active NPI

Nova Lotus Wellness LLC

  • Mental Health Counselor
  • Peoria, IL
National Provider Identifier
1265387997
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NOVA LOTUS WELLNESS LLC
Practice address
7501 N University St Ste 119-121
Peoria, IL 61614-1222
Phone
(309) 839-9706
NPI assigned
Feb 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Teresa Thompson, MA, LPCNPI 1982061222
Title
Owner
Phone
(309) 370-0373

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7501 N University St Ste 119-121
Peoria, IL 61614-1222

Mailing address

7501 N University St Ste 119-121
Peoria, IL 61614-1222
Phone (309) 839-9706

National Provider Directory

National Provider Directory

Locations

7501 N University St
Ste 119121
Peoria, IL 61614
Phone (309) 839-9706

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": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1265387997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST STE 119-121",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141222",
            "telephone_number": "309-839-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 N UNIVERSITY ST STE 119-121",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141222",
            "telephone_number": "309-839-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA LOTUS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-370-0373",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-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 Feb 27, 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.