Active NPI
Deeanne F Reimers, LCPC
- Professional Counselor
- Peoria, IL
National Provider Identifier
1568623304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180004594
- Practice address
- 507 E Armstrong Ave
Peoria, IL 61603-3201 - Phone
- (309) 686-1177
- Fax
- (309) 687-2029
- NPI assigned
- Jun 24, 2008
- 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 | 180004594 | IL | Primary |
Addresses
Primary practice location
507 E Armstrong Ave
Peoria, IL 61603-3201
Mailing address
5520 N Pepperwood CT
Peoria, IL 61615-3272
Phone (309) 256-4596
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hillcrest Dr
Suite C
Washington, IL 61571-2227
Phone (309) 444-2800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180004594 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced | Current | Accepting new patients |
Locations
100 Hillcrest Dr
Ste C
Washington, IL 61571
Phone (309) 444-2800
100 Hillcrest Dr
Ste E
Washington, IL 61571
Phone (248) 515-4735
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1568623304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 N PEPPERWOOD CT",
"city": "PEORIA",
"state": "IL",
"postal_code": "616153272",
"telephone_number": "309-256-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 E ARMSTRONG AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616033201",
"telephone_number": "309-686-1177",
"fax_number": "309-687-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIMERS",
"first_name": "DEEANNE",
"middle_name": "F",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-24",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180004594",
"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 Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.