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KEITH DIRL LCPC
NPI 1043107535
Counselor - Professional in Peoria, IL

Active since June 18, 2025PECOS Enrolled
416 MAIN ST STE 601, PEORIA, IL 61602(000) 000-0000 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, Jun 18, 2025 (2 updates tracked since 2025).

About Keith Dirl Lcpc NPPES

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

KEITH DIRL LCPC (NPI 1043107535) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180-005960) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043107535
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEITH DIRLCredential: LCPC
Location Address416 MAIN ST STE 601Peoria, IL 61602-3126
Mailing Address416 Main St Ste 601Peoria, IL 61602-3126
Phone(000) 000-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 18, 2025
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1043107535 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 · 180-005960
416 MAIN ST STE 601, Peoria, IL 61602
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Dirl Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153810460
PECOS Enrollment IDI20251028001906
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 2

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

NICOLE BROWN LCPC
Counselor (Professional)
416 MAIN ST STE 601
PEORIA, IL 61602
Peoria County (309) 945-3305
CARE PLANNING INSTITUTE, INC
In Home Supportive Care
416 MAIN ST STE 601
PEORIA, IL 61602
Peoria County (844) 424-7748

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 Keith Dirl's NPI number?

The NPI number for Keith Dirl is 1043107535. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Keith Dirl located?

Keith Dirl practices at 416 Main St Ste 601, Peoria, IL 61602. The listed phone number is (000) 000-0000.

What is Keith Dirl's specialty?

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

Is Keith Dirl enrolled in Medicare?

Yes. Keith Dirl is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Dirl was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.