AUTUMN CHALL
NPI 1053143024
Counselor - Mental Health in Bloomington, IL

Active since August 17, 2024
2103 E WASHINGTON ST STE 4B, BLOOMINGTON, IL 61701(309) 822-2261 Get Directions Write a Review

NPPES record last updated: August 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Chall NPPES

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

AUTUMN CHALL (NPI 1053143024) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1053143024
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAUTUMN CHALL
Location Address2103 E WASHINGTON ST STE 4BBloomington, IL 61701-4362
Mailing Address2103 E Washington St Ste 4bBloomington, IL 61701-4362 · (309) 822-2261
Sole ProprietorNo
Enumeration DateAugust 17, 2024
NPPES CertifiedAugust 16, 2024
NPI 1053143024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2103 E WASHINGTON ST STE 4B, Bloomington, IL 61701

Other Providers at the Same Location NPPES 7

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

Dentist (General Practice)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
Counselor (Professional)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
Dentist
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
Counselor (Mental Health)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
Counselor
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
Counselor (Mental Health)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701
Counselor (Mental Health)
2103 E WASHINGTON ST STE 4B
BLOOMINGTON, IL 61701

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 Autumn Chall's NPI number?

The NPI number for Autumn Chall is 1053143024. It was assigned to this individual provider in the NPPES registry on August 17, 2024.

Where is Autumn Chall located?

Autumn Chall practices at 2103 E Washington St Ste 4B, Bloomington, IL 61701. The listed phone number is (309) 822-2261.

What is Autumn Chall'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 Autumn Chall was last updated on August 17, 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.