Lekiesha Marese Sample

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2201 Eastland Dr Ste 4
Bloomington, IL 61704-7923

Phone

(217) 714-7042

NPI assigned

Oct 20, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1891692257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 N DEVONSHIRE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152506",
            "telephone_number": "773-726-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 EASTLAND DR STE 4",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047923",
            "telephone_number": "217-714-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLE",
        "first_name": "LEKIESHA",
        "middle_name": "MARESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sallade-Bardenshtein
• Stacey Elaine Salmonson, APRN, CNP
• Eric D Salud, DDS
• Salus Counseling LLC
• Julie Lynn Salzbrunn, D.C.
• Lizandro Sanchez, PT, DPT
• Cedric Joshua Sanders
• Adam D Sangston
• Erin Michelle Sansotta
• Joseph A Santiago Jr., M.D.

• Mental Health Counselor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.