ROBERT WOLTER
NPI 1053796367
Counselor - Professional in Bloomington, IL

Active since July 28, 2015PECOS Enrolled
108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351 Get Directions Write a Review

NPPES record last updated: July 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert Wolter NPPES

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

ROBERT WOLTER (NPI 1053796367) is an individual professional provider in Bloomington, Illinois, licensed in Illinois (180011419) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pekin.

NPPES Registry Identity

NPI1053796367
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameROBERT WOLTER
Location Address108 W MARKET STBloomington, IL 61701
Mailing Address108 W Market StBloomington, IL 61701-3918
Sole ProprietorNo
Enumeration DateJuly 28, 2015
Last NPPES UpdateJuly 27, 2018
NPI 1053796367 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 · 180011419
108 W MARKET ST, Bloomington, IL 61701

Secondary Practice Location 1

Location 13248 Vandever AvePekin, IL 61554-6257 · Phone (309) 347-5579

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Robert Wolter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

Nurse Practitioner (Family)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Registered Nurse (Psychiatric/Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
BLOOMINGTON, IL 61701
Counselor (Mental Health)
108 W MARKET ST
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 Robert Wolter's NPI number?

The NPI number for Robert Wolter is 1053796367. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Robert Wolter located?

Robert Wolter practices at 108 W Market St, Bloomington, IL 61701. The listed phone number is (309) 827-5351.

What is Robert Wolter's specialty?

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

Is Robert Wolter enrolled in Medicare?

Yes. Robert Wolter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Wolter was last updated on July 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.