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THECLA A GAVIN MAC, NCC, LPC
NPI 1851904874
Counselor - Mental Health in Peoria, IL

Active since August 28, 2020
330 SW WASHINGTON ST, PEORIA, IL 61602(309) 676-2400(309) 676-6022 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thecla A Gavin Mac, Ncc, Lpc NPPES

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

THECLA A GAVIN MAC, NCC, LPC (NPI 1851904874) is an individual mental health provider in Peoria, Illinois, licensed in Illinois (178.016210) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1851904874
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTHECLA A GAVINCredential: MAC, NCC, LPC
Location Address330 SW WASHINGTON STPeoria, IL 61602-1406
Mailing Address330 Sw Washington StPeoria, IL 61602-1406 · (309) 676-2400 · Fax (309) 676-6022
Phone(309) 676-2400
Fax(309) 676-6022
Sole ProprietorNo
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1851904874 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 · 178.016210
330 SW WASHINGTON ST, Peoria, IL 61602
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Other Providers at the Same Location NPPES 13

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

KAYLA POWELL NCC
Counselor (Mental Health)
330 SW WASHINGTON ST
PEORIA, IL 61602
Peoria County (309) 676-2400
SHARON MORRISSY MONIER LCSW
Social Worker (Clinical)
330 SW WASHINGTON ST
PEORIA, IL 61602
Peoria County (309) 676-2400
MR. CHARLES A KLEES MA
Counselor (Addiction (Substance Use Disorder))
330 SW WASHINGTON ST
PEORIA, IL 61602
Peoria County (309) 676-2400
MR. JAY MICHAEL CURLEY LMFT, MSMFT, LPHA
Counselor (Mental Health)
330 SW WASHINGTON ST
PEORIA, IL 61602
Peoria County (309) 676-2400
JONATHAN STUART JUROW LPC
Counselor (Professional)
330 SW WASHINGTON ST
PEORIA, IL 61602
Peoria County (309) 676-2400
ANGELA R HUDELSON LCSW
Social Worker (Clinical)
330 SW WASHINGTON ST
PEORIA, IL 61602
Peoria County (309) 676-2400
MS. JEWEL KRISTINE HEMMELE LCPC
Counselor (Mental Health)
330 SW WASHINGTON ST
PEORIA, IL 61602
Peoria County (309) 676-2400
MS. JULIE MARIE CARON SIMS ACSW, LCSW
Social Worker (Clinical)
330 SW WASHINGTON ST
PEORIA, IL 61602
Peoria County (309) 676-2400

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 Thecla Gavin's NPI number?

The NPI number for Thecla Gavin is 1851904874. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Thecla Gavin located?

Thecla Gavin practices at 330 SW Washington St, Peoria, IL 61602. The listed phone number is (309) 676-2400.

What is Thecla Gavin'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 Thecla Gavin was last updated on August 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.