1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Social Worker
  6. NPI Profile

PHOENIX WELLNESS, LLC
NPI 1538608690
Social Worker - Clinical in Peoria, IL

Active since February 21, 2017
2020 W WAR MEMORIAL DR, STE 304, PEORIA, IL 61614(309) 989-7282 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Phoenix Wellness, Llc NPPES

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

PHOENIX WELLNESS, LLC (NPI 1538608690) is a healthcare organization registered as a clinical in Peoria, Illinois and active in the NPI registry since February 2017. The organization lists Erin E Surratt, Owner, as its authorized official.

NPPES Registry Identity

NPI1538608690
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHOENIX WELLNESS, LLC
Location Address2020 W WAR MEMORIAL DR, STE 304Peoria, IL 61614-6754
Mailing Address105 Lexington CtEast Peoria, IL 61611-5547
Phone(309) 989-7282
Organization SubpartNo
Authorized OfficialErin E SurrattOwner · (309) 989-7282
Enumeration DateFebruary 21, 2017
✔ NPI 1538608690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149016007
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2020 W WAR MEMORIAL DR, Peoria, IL 61614
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Phoenix Wellness, LLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Karen Kewley, LCPC
Mental Health Counselor
NPI 1356647721
5016 N UNIVERSITY ST STE 109
Peoria, IL 61614
(309) 573-4834
✔ PECOS✔ Accepts Medicare1.0 mi
Angela Zumbek, MA, LCPC
Lcpc
NPI 1598219594
2396 W NEBRASKA AVE
Peoria, IL 61604
(309) 676-6305
✔ PECOS2.0 mi
Jamie Wernsman, PH.D.
Clinical Psychologist
NPI 1780856591
7820 N UNIVERSITY ST STE 204
Peoria, IL 61614
(309) 863-2593
✔ PECOS✔ Accepts Medicare3.1 mi
Tammy Burtch
Clinical Social Worker
NPI 1245748920
900 MAIN ST STE 400
Peoria, IL 61602
(309) 672-3100
✔ PECOS✔ Accepts Medicare3.2 mi
Erin Surratt, LCSW
Clinical Social Worker
NPI 1558796789
900 MAIN ST SUITE 400
Peoria, IL 61602
(309) 672-3100
✔ PECOS✔ Accepts Medicare3.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Phoenix Wellness, LLC's NPI number?

The NPI number for Phoenix Wellness, LLC is 1538608690. It was assigned to this organization in the NPPES registry on February 21, 2017.

Where is Phoenix Wellness, LLC located?

Phoenix Wellness, LLC is located at 2020 W War Memorial Dr Ste 304, Peoria, IL 61614. The listed phone number is (309) 989-7282.

What is Phoenix Wellness, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Phoenix Wellness, LLC enrolled in Medicare?

Yes. Phoenix Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Phoenix Wellness, LLC, in Clinical Psychologist, Clinical Social Worker, Lcpc and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phoenix Wellness, LLC was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.