GRACE ELIZABETH LONGSTRETH
NPI 1487445987
Counselor - Mental Health in Bloomington, IL

Active since May 14, 2025
1701 CLEARWATER AVE STE D, BLOOMINGTON, IL 61704(309) 590-6788 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Elizabeth Longstreth NPPES

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

GRACE ELIZABETH LONGSTRETH (NPI 1487445987) is an individual mental health provider in Bloomington, Illinois, licensed in Illinois (178.022113) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1487445987
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGRACE ELIZABETH LONGSTRETH
Location Address1701 CLEARWATER AVE STE DBloomington, IL 61704-6434
Mailing Address616 Iaa DrBloomington, IL 61701-2225
Sole ProprietorNo
Enumeration DateMay 14, 2025
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1487445987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178.022113
1701 CLEARWATER AVE STE D, Bloomington, IL 61704

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 Grace Longstreth's NPI number?

The NPI number for Grace Longstreth is 1487445987. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Grace Longstreth located?

Grace Longstreth practices at 1701 Clearwater Ave Ste D, Bloomington, IL 61704. The listed phone number is (309) 590-6788.

What is Grace Longstreth'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 Grace Longstreth was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.