Active NPI
Tahari Nicole Allen, LCPC
- Professional Counselor
- Peoria, IL
National Provider Identifier
1558096578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.016912
- Practice address
- 1200 Hamilton Blvd
Peoria, IL 61606-1525 - Phone
- (309) 671-8040
- NPI assigned
- Jul 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.016912 | IL | Primary |
Addresses
Primary practice location
1200 Hamilton Blvd
Peoria, IL 61606-1525
Mailing address
306 Pecan St
Peoria, IL 61602-1662
Phone (309) 308-2030
Other practice location 1
306 Pecan St
Peoria, IL 61602-1662
Phone (309) 308-2030 ext. 2043
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.016912 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775260800000",
"number": "1558096578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 PECAN ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616021662",
"telephone_number": "309-308-2030",
"fax_number": "309-308-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HAMILTON BLVD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061525",
"telephone_number": "309-671-8040"
}
],
"practiceLocations": [
{
"address_1": "306 Pecan St",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616021662",
"country_code": "US",
"telephone_number": "309-308-2030 x2043",
"fax_number": "309-308-2031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "TAHARI",
"middle_name": "NICOLE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-22",
"last_updated": "2026-04-04",
"certification_date": "2026-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.016912",
"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 Apr 4, 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.