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EDGE COUNSELING AND WELLNESS LLC
NPI 1790275485
Social Worker - Clinical in Peoria, IL

Active since May 17, 2018
719 W LAKE AVE, PEORIA, IL 61614(309) 360-8912 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2021, May 17, 2018 (2 updates tracked since 2018).

About Edge Counseling And Wellness Llc NPPES

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

EDGE COUNSELING AND WELLNESS LLC (NPI 1790275485) is a healthcare organization registered as a clinical in Peoria, Illinois and active in the NPI registry since May 2018. The organization lists Audrey Lemasters, Owner, as its authorized official.

NPPES Registry Identity

NPI1790275485
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameEDGE COUNSELING AND WELLNESS LLC
Location Address719 W LAKE AVEPeoria, IL 61614-5941
Mailing Address719 W Lake AvePeoria, IL 61614-5941 · (309) 360-8912
Phone(309) 360-8912
Organization SubpartNo
Authorized OfficialAudrey LemastersOwner · (309) 360-8912
Enumeration DateMay 17, 2018
Last NPPES UpdateNovember 7, 20212 updates tracked since enumeration
NPPES CertifiedNovember 7, 2021
✔ NPI 1790275485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
719 W LAKE AVE, Peoria, IL 61614
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Edge Counseling And Wellness LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Clinical Social Worker6
Mental Health Counselor5

Clinicians, nearest first (11)

Devon Atkins, M.A.
Mental Health Counselor
NPI 1659062388
719 W LAKE AVE
Peoria, IL 61614
(309) 408-1493
✔ PECOS✔ Accepts MedicareSame address
Emerick Fulton
Mental Health Counselor
NPI 1750130571
719 W LAKE AVE
Peoria, IL 61614
(309) 408-1493
✔ PECOS✔ Accepts MedicareSame address
Olivia Ruff
Mental Health Counselor
NPI 1700635505
719 W LAKE AVE
Peoria, IL 61614
(309) 408-1493
✔ PECOSSame address
John Hubbs, LCSW
Clinical Social Worker
NPI 1841258944
5101 N EXECUTIVE DR
Peoria, IL 61614
(309) 408-1493
✔ PECOS✔ Accepts Medicare0.7 mi
Kailey Karder, MSW
Clinical Social Worker
NPI 1952122202
5101 N EXECUTIVE DR
Peoria, IL 61614
(309) 408-1493
✔ PECOS✔ Accepts Medicare0.7 mi
Colleen Steffen
Mental Health Counselor
NPI 1942066576
5101 N EXECUTIVE DR
Peoria, IL 61614
(309) 777-0740
✔ PECOS0.7 mi
Charne Stoltz
Clinical Social Worker
NPI 1821974015
5101 N EXECUTIVE DR
Peoria, IL 61614
(309) 408-1493
✔ PECOS0.7 mi
Ashley Mcmurtry
Mental Health Counselor
NPI 1982325866
719 W LAKE AVE
Peoria, IL 61614
(309) 408-1493
✔ PECOS✔ Accepts Medicare1.1 mi
Jill Larson, M.S.W.
Clinical Social Worker
NPI 1669503587
7617 N VILLA WOOD LN
Peoria, IL 61614
(309) 693-8200
✔ PECOS✔ Accepts Medicare2.8 mi
Audrey Lemasters, LCSW
Clinical Social Worker
NPI 1811058753
900 MAIN ST SUITE 580
Peoria, IL 61602
(309) 637-4266
✔ PECOS✔ Accepts Medicare2.9 mi
Charles Wilcox
Clinical Social Worker
NPI 1265831192
359 S CAPITOL ST
Pekin, IL 61554
(309) 620-0881
✔ PECOS✔ Accepts Medicare12 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 Edge Counseling And Wellness LLC's NPI number?

The NPI number for Edge Counseling And Wellness LLC is 1790275485. It was assigned to this organization in the NPPES registry on May 17, 2018.

Where is Edge Counseling And Wellness LLC located?

Edge Counseling And Wellness LLC is located at 719 W Lake Ave, Peoria, IL 61614. The listed phone number is (309) 360-8912.

What is Edge Counseling And Wellness LLC's specialty?

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

Is Edge Counseling And Wellness LLC enrolled in Medicare?

Yes. Edge Counseling And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edge Counseling And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Edge 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. The largest specialties are Clinical Social Worker (6) and Mental Health Counselor (5). Of these, 3 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Edge Counseling And Wellness LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Edge Counseling And Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edge Counseling And Wellness LLC was last updated on November 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.