Grace Elizabeth Longstreth

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.022113 Issued in IL

Practice address

1701 Clearwater Ave Ste D
Bloomington, IL 61704-6434

Phone

(309) 590-6788

NPI assigned

May 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Counselors LTD.

  • Professional Counselor
  • Bloomington, IL
  • NPI 1205213758
  NPD
• Compass Counselors LTD.

  • Physician Assistant
  • Bloomington, IL
  • NPI 1225912231
  NPD

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1487445987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 IAA DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CLEARWATER AVE STE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046434",
            "telephone_number": "309-590-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGSTRETH",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.022113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Jomarie Lockwood, D.P.M.
• Paula D. Lodge
• Jeffrey M. Loeb, M.S.W., L.C.S.W.
• Amy Long, MS, LSW
• Kelly Anne Long
• Marvin Loos, CRNA
• Craig Walter Lopatka, DDS, MD
• Diana Lopez
• Lorio Counseling Services LLC
• Caitlin M Loughary

• Mental Health Counselor in Bloomington, IL
• Providers in Bloomington, 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 Sep 24, 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.