Individual provider Active NPI

Kaylee Atria, LCSW

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1396560975
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.026904 Issued in IL
Practice address
900 Main St Ste 400
Peoria, IL 61602-1060
Phone
(309) 672-3100
NPI assigned
Nov 19, 2024
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.026904 IL Primary

Addresses

Primary practice location

900 Main St Ste 400
Peoria, IL 61602-1060

Mailing address

900 Main St Ste 400
Peoria, IL 61602-1060
Phone (309) 672-3100

Other practice location 1

2223 W Heading Ave
West Peoria, IL 61604-5139
Phone (309) 570-1900

Other names 1

  • Kaylee Kircher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103002104 IL Practitioner - Clinical Social Worker 1254869274 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Methodist Medical Center of IllinoisGroup PAC ID 1355259714, shared by 8 NPIs, 387 clinicians

Practice addresses (Care Compare)

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

815 Main St
Suite a
Peoria, IL 61602-1080
Phone (309) 672-4977

900 Main St
Peoria, IL 61602-1060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.026904ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Multi-Specialty CurrentSince Dec 30, 2025 Accepting new patients
Methodist Medical Center of Illinois Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Methodist Medical Center of Illinois Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Methodist Medical Center of Illinois Multi-Specialty Current Accepting new patients

Locations

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 671-7779

120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

900 Main St
Ste 400
Peoria, IL 61602
Phone (309) 671-3100

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

2223 W Heading Ave
West Peoria, IL 61604
Phone (309) 570-1800

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1396560975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 400",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021060",
            "telephone_number": "309-672-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 400",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021060",
            "telephone_number": "309-672-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2223 W Heading Ave",
            "address_purpose": "LOCATION",
            "city": "West Peoria",
            "state": "IL",
            "postal_code": "616045139",
            "country_code": "US",
            "telephone_number": "309-570-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATRIA",
        "first_name": "KAYLEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "KIRCHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.