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FULLRIEDE PROFESSIONAL COUNSELING
NPI 1043140650
Counselor - Mental Health in Bloomington, IL

Active since May 23, 2026
2404 E EMPIRE ST # 110, BLOOMINGTON, IL 61704(815) 584-6383 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fullriede Professional Counseling NPPES

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

FULLRIEDE PROFESSIONAL COUNSELING (NPI 1043140650) is a healthcare organization registered as a mental health in Bloomington, Illinois and active in the NPI registry since May 2026. The organization lists Ashley Fae Fullriede, President, as its authorized official.

NPPES Registry Identity

NPI1043140650
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameFULLRIEDE PROFESSIONAL COUNSELING
Location Address2404 E EMPIRE ST # 110Bloomington, IL 61704-3630
Mailing Address2404 E Empire St Ste 110Bloomington, IL 61704-3630 · (815) 584-6383
Phone(815) 584-6383
Organization SubpartNo
Authorized OfficialAshley Fae FullriedePresident · (815) 584-6383
Enumeration DateMay 23, 2026
NPPES CertifiedMay 23, 2026
✔ NPI 1043140650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2404 E EMPIRE ST # 110, Bloomington, IL 61704
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fullriede Professional Counseling's NPI number?

The NPI number for Fullriede Professional Counseling is 1043140650. It was assigned to this organization in the NPPES registry on May 23, 2026.

Where is Fullriede Professional Counseling located?

Fullriede Professional Counseling is located at 2404 E Empire St # 110, Bloomington, IL 61704. The listed phone number is (815) 584-6383.

What is Fullriede Professional Counseling's specialty?

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

When was this NPI record last updated?

The NPPES record for Fullriede Professional Counseling was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.