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KEVIN J SCHROCK O. T.
NPI 1255482543
Counselor - Mental Health in East Peoria, IL

Active since January 15, 2007PECOS Enrolled
111 W WASHINGTON ST STE 230, EAST PEORIA, IL 61611(309) 347-5579(309) 347-4264 Get Directions Write a Review

NPPES record last updated: July 7, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kevin J Schrock O. T. NPPES

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

KEVIN J SCHROCK O. T. (NPI 1255482543) is an individual mental health provider in East Peoria, Illinois and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1255482543
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEVIN J SCHROCKCredential: O. T.
Location Address111 W WASHINGTON ST STE 230East Peoria, IL 61611-2560
Mailing Address111 W Washington St Ste 230East Peoria, IL 61611-2560 · (309) 347-5579 · Fax (309) 347-4264
Phone(309) 347-5579
Fax(309) 347-4264
Sole ProprietorNo
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 7, 2024
NPPES CertifiedJuly 7, 2024
✔ NPI 1255482543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedOccupational TherapistTaxonomy 225X00000X · License 056005963 (IL)
111 W WASHINGTON ST STE 230, East Peoria, IL 61611
Open in Google Maps ↗

Secondary Practice Location 1

Location 12338 W Sud Pkwy, Ste 3100Peoria, IL 61615-7483 · Phone (309) 693-9189 · Fax (309) 693-9946

Other Identifiers 1

OtherP01030410IL · Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin J Schrock O. T. 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 2

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

ELENA JENKINS
Counselor (Mental Health)
111 W WASHINGTON ST STE 230
EAST PEORIA, IL 61611
Tazewell County (309) 477-5607
JORDAN KRONES
Counselor (Mental Health)
111 W WASHINGTON ST STE 230
EAST PEORIA, IL 61611
Tazewell County (309) 694-6462

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 Kevin Schrock's NPI number?

The NPI number for Kevin Schrock is 1255482543. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Kevin Schrock located?

Kevin Schrock practices at 111 W Washington St Ste 230, East Peoria, IL 61611. The listed phone number is (309) 347-5579.

What is Kevin Schrock's specialty?

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

Is Kevin Schrock enrolled in Medicare?

Yes. Kevin Schrock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Schrock was last updated on July 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.