JULIE KRISTINE PETERS LCPC
NPI 1003335472
Counselor - Professional in Peoria, IL

Active since September 16, 2017Opted out of Medicare · through Nov 9, 2027
2000 W PIONEER PKWY STE 14, PEORIA, IL 61615(309) 550-1001 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2024, Aug 8, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Julie Kristine Peters Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE KRISTINE PETERS LCPC (NPI 1003335472) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.015939) and active in the NPI registry since September 2017. She has opted out of Medicare through November 9, 2027.

NPPES Registry Identity

NPI1003335472
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJULIE KRISTINE PETERSCredential: LCPC
Location Address2000 W PIONEER PKWY STE 14Peoria, IL 61615-1882
Mailing Address2712 Telegraph AveBerkeley, CA 94705-1117 · (510) 548-8283
Sole ProprietorNo
Enumeration DateSeptember 16, 2017
Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1003335472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180.015939
2000 W PIONEER PKWY STE 14, Peoria, IL 61615

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Julie Kristine Peters Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 9, 2025 through November 9, 2027.

Opt-Out Effective DateNovember 9, 2025
Opt-Out In Effect ThroughNovember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2000 W PIONEER PKWY STE 14
PEORIA, IL 61615
Counselor (Professional)
2000 W PIONEER PKWY STE 14
PEORIA, IL 61615
Counselor (Professional)
2000 W PIONEER PKWY STE 14
PEORIA, IL 61615
Counselor (Mental Health)
2000 W PIONEER PKWY STE 14
PEORIA, IL 61615

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Peters's NPI number?

The NPI number for Julie Peters is 1003335472. It was assigned to this individual provider in the NPPES registry on September 16, 2017.

Where is Julie Peters located?

Julie Peters practices at 2000 W Pioneer Pkwy Ste 14, Peoria, IL 61615. The listed phone number is (309) 550-1001.

What is Julie Peters's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Julie Peters enrolled in Medicare?

No. Julie Peters has opted out of Medicare through November 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Julie Peters was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.