East Peoria Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EAST PEORIA COUNSELING LLC

Practice address

252 E Washington St Ste D
East Peoria, IL 61611-2563

Phone

(331) 871-0280

NPI assigned

Jul 28, 2023

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Lane Pearson, LCPC NCC CADCNPI 1679268916

Title

Therapist/Owner

Phone

(309) 339-5291

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Pearson, LCPC, NCC, CADC

  • Mental Health Counselor
  • East Peoria, IL
  • NPI 1679268916
  NPD Authorized official

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1447931779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SMILEY CT",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615711034",
            "telephone_number": "309-339-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E WASHINGTON ST STE D",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112563",
            "telephone_number": "331-871-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PEORIA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "309-339-5291",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC NCC CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dickerson Chiropractic and Wellness Center PC
• Michaela M Doss, PHARM.D.
• Clarence E Dukes, MD
• Christina D Durbin, DC
• East Peoria Comm High SCH 309
• East Peoria Elementary Dist 86
• East Peoria Gardens Healthcare
• East Peoria NH LLC (River Crossing of East Peoria)
• East Peoria Walk-in Chiropractic LLC
• Nancy S. Egger, L.C.S.W.

• Mental Health Counselor in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.