Organization Active NPI

Whole Self Solutions

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1497569255
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WHOLE SELF SOLUTIONS
Practice address
6808 N Knoxville Ave Ste C
Peoria, IL 61614-2855
Phone
(309) 229-6451
NPI assigned
Feb 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Jessica Delores Stear, LCSWNPI 1295436939
Title
LCSW / Private Practice Owner
Phone
(309) 229-6451

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

6808 N Knoxville Ave Ste C
Peoria, IL 61614-2855

Mailing address

605 N Rose St
Elmwood, IL 61529-9566
Phone (309) 229-6451

National Provider Directory

National Provider Directory

Locations

6808 N Knoxville Ave
Ste C
Peoria, IL 61614
Phone (309) 229-6451

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": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1497569255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N ROSE ST",
            "city": "ELMWOOD",
            "state": "IL",
            "postal_code": "615299566",
            "telephone_number": "309-229-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 N KNOXVILLE AVE STE C",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142855",
            "telephone_number": "309-229-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SELF SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "STEAR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "LCSW / PRIVATE PRACTICE OWNER",
        "authorized_official_telephone_number": "309-229-6451",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "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 3, 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.