Individual provider Active NPI

Gracie Pleitgen

  • Behavior Technician
  • Champaign, IL
National Provider Identifier
1679471734
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4108 Fieldstone Rd Ste a
Champaign, IL 61822-8808
Phone
(217) 781-0342
NPI assigned
Oct 28, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X IL Primary

Addresses

Primary practice location

4108 Fieldstone Rd Ste a
Champaign, IL 61822-8808

Mailing address

4108 Fieldstone Rd Ste a
Champaign, IL 61822-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1679471734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 FIELDSTONE RD STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 FIELDSTONE RD STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228808",
            "telephone_number": "217-781-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEITGEN",
        "first_name": "GRACIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.