FULL CIRCLE COUNSELING AND WELLNESS, LLC
NPI 1558976209
Counselor - Professional in Peoria, IL

Q: What is Full Circle Counseling And Wellness, LLC's specialty?

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

Active since September 10, 2020

2000 W PIONEER PKWY STE 14, PEORIA, IL 61615(309) 550-1001 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 1, 2026, Nov 10, 2020, Sep 10, 2020 (3 updates tracked since 2020).

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About Full Circle Counseling And Wellness, Llc NPPES

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

FULL CIRCLE COUNSELING AND WELLNESS, LLC (NPI 1558976209) is a healthcare organization registered as a professional in Peoria, Illinois and active in the NPI registry since September 2020. The organization lists Katie Neidetcher, Owner, as its authorized official.

NPPES Registry Identity

NPI1558976209

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameFULL CIRCLE COUNSELING AND WELLNESS, LLC

Location Address2000 W PIONEER PKWY STE 14Peoria, IL 61615-1882

Mailing Address2000 W Pioneer Pkwy Ste 14Peoria, IL 61615-1882 · (309) 550-1001

Phone(309) 550-1001

Organization SubpartNo

Authorized OfficialKatie NeidetcherOwner · (309) 550-1001

Enumeration DateSeptember 10, 2020

Last NPPES UpdateMay 1, 20263 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1558976209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

2000 W PIONEER PKWY STE 14, Peoria, IL 61615

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Full Circle Counseling And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Full Circle Counseling And Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Marissa Brown, LCPC

Mental Health Counselor

NPI 1528841012

2000 W PIONEER PKWY STE 14
Peoria, IL 61615

(309) 550-1001

✔ PECOSSame address

Katie Neidetcher, LCPC

Mental Health Counselor

NPI 1093376329

7210 N VILLA LAKE DR STE C
Peoria, IL 61614

(309) 713-1485

✔ PECOS1.0 mi

Seth Errion, LCPC

Mental Health Counselor

NPI 1235984907

8940 N WOOD SAGE RD
Peoria, IL 61615

(309) 243-3000

✔ PECOS2.4 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 Full Circle Counseling And Wellness, LLC's NPI number?

The NPI number for Full Circle Counseling And Wellness, LLC is 1558976209. It was assigned to this organization in the NPPES registry on September 10, 2020.

Where is Full Circle Counseling And Wellness, LLC located?

Full Circle Counseling And Wellness, LLC is located at 2000 W Pioneer Pkwy Ste 14, Peoria, IL 61615. The listed phone number is (309) 550-1001.

What is Full Circle Counseling And Wellness, LLC's specialty?

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

Is Full Circle Counseling And Wellness, LLC enrolled in Medicare?

Yes. Full Circle Counseling And Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Full Circle Counseling And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Full Circle Counseling And Wellness, LLC. 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, 1 practice at this address and 3 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 Full Circle Counseling And Wellness, LLC was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.