VICTORIA FETTER
NPI 1003439340
Counselor - Mental Health in Bloomington, IL

Q: What is Victoria Fetter's NPI number?

The NPI number for Victoria Fetter is 1003439340. It was assigned to this individual provider in the NPPES registry on May 21, 2020.

Q: What is Victoria Fetter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Victoria Fetter was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since May 21, 2020PECOS EnrolledAccepts Medicare Assignment

808 S ELDORADO RD STE 102, BLOOMINGTON, IL 61704(888) 428-7890(877) 428-7891 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2024, Apr 3, 2023, Mar 17, 2023 and 1 more (4 updates tracked since 2020).

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About Victoria Fetter NPPES

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

VICTORIA FETTER (NPI 1003439340) is an individual mental health provider in Bloomington, Illinois, licensed in Illinois (180015113) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003439340

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameVICTORIA FETTER

Location Address808 S ELDORADO RD STE 102Bloomington, IL 61704-6075

Mailing Address808 S Eldorado Rd Ste 102Bloomington, IL 61704-6075 · (888) 428-7890 · Fax (877) 428-7891

Phone(888) 428-7890

Fax(877) 428-7891

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 21, 2020

Last NPPES UpdateJanuary 23, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1003439340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180015113

Also ListedCounselorTaxonomy 101Y00000X · License 180.015113 (IL)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180015113 (IL)

808 S ELDORADO RD STE 102, Bloomington, IL 61704

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Other Identifiers 1

Medicaid370915481007IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria Fetter is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052763661

PECOS Enrollment IDI20240119000496

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

PSYCHOLOGY SPECIALISTS LTD

Psychologist (Clinical)