Individual provider Active NPI

Kirsten Miller

  • Mental Health Counselor
  • Peoria, IL
National Provider Identifier
1801758495
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.016930 Issued in IL
Practice address
2000 W Pioneer Pkwy Ste 14
Peoria, IL 61615-1882
Phone
(309) 550-1001
NPI assigned
Dec 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.016930 IL Primary

Addresses

Primary practice location

2000 W Pioneer Pkwy Ste 14
Peoria, IL 61615-1882

Mailing address

100 Nicholas Dr
Groveland, IL 61535-9510

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

LicenseStateTypeSpecialty
180.016930ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Counseling and Wellness, LLC CurrentSince May 1, 2026 Accepting new patients

Locations

2000 W Pioneer Pkwy
Ste 14
Peoria, IL 61615
Phone (309) 550-1001

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.

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1801758495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NICHOLAS DR",
            "city": "GROVELAND",
            "state": "IL",
            "postal_code": "615359510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 14",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151882",
            "telephone_number": "309-550-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIRSTEN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.016930",
            "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 Dec 2, 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.