Organization Active NPI

MFG Counseling Services. LLC

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1902554629
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MFG COUNSELING SERVICES. LLC
Practice address
5016 N University St Ste 101
Peoria, IL 61614-4763
Phone
(309) 219-5384
NPI assigned
Mar 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Authorized official

Name
Morgan Ann Fulton-Gorham, LCSWNPI 1982205050
Title
Licensed Clinical Social Worker
Phone
(309) 219-5384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5016 N University St Ste 101
Peoria, IL 61614-4763

Mailing address

1329 W Circle Rd
Peoria, IL 61604-2501
Phone (309) 219-5384

Other practice location 1

4541 N Prospect Rd Ste 104A
Peoria Heights, IL 61616-6529
Phone (309) 323-0060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1902554629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W CIRCLE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042501",
            "telephone_number": "309-219-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 N UNIVERSITY ST STE 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144763",
            "telephone_number": "309-219-5384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4541 N Prospect Rd Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Peoria Heights",
            "state": "IL",
            "postal_code": "616166529",
            "country_code": "US",
            "telephone_number": "309-323-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MFG COUNSELING SERVICES. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "FULTON-GORHAM",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "309-219-5384",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Aug 1, 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.