Organization Active NPI

Girls Light Our Way

  • Adolescent and Children Mental Health Clinic/Center
  • Peoria, IL
National Provider Identifier
1316805062
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
GIRLS LIGHT OUR WAY
Practice address
201 SW Adams St
Peoria, IL 61602-1407
Phone
(917) 770-6058
NPI assigned
Jan 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Dawn L Harris Jeffries PH.D
Title
President & Ceo
Phone
(917) 770-6058

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

201 SW Adams St
Peoria, IL 61602-1407

Mailing address

1325 W Holly Hedges Dr
Peoria, IL 61614-4172
Phone (917) 770-6058

National Provider Directory

National Provider Directory

Locations

201 SW Adams St
Peoria, IL 61602
Phone (917) 770-6058

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1316805062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 W HOLLY HEDGES DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144172",
            "telephone_number": "917-770-6058",
            "fax_number": "917-770-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021407",
            "telephone_number": "917-770-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIRLS LIGHT OUR WAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "HARRIS JEFFRIES PH.D",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "917-770-6058"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children 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 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.