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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LEKIESHA MARESE SAMPLE
NPI 1891692257
Counselor - Mental Health in Bloomington, IL

Active since October 20, 2026
2201 EASTLAND DR STE 4, BLOOMINGTON, IL 61704(217) 714-7042 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lekiesha Marese Sample NPPES

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

LEKIESHA MARESE SAMPLE (NPI 1891692257) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1891692257
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLEKIESHA MARESE SAMPLE
Location Address2201 EASTLAND DR STE 4Bloomington, IL 61704-7923
Mailing Address6005 N Devonshire DrPeoria, IL 61615-2506 · (773) 726-2111
Phone(217) 714-7042
Sole ProprietorNo
Enumeration DateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1891692257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase ManagementTaxonomy 251B00000X
2201 EASTLAND DR STE 4, Bloomington, IL 61704
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Other Providers at the Same Location NPPES

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

KAITLYN N DUNCAN APN
Nurse Practitioner
2201 EASTLAND DR STE 4
BLOOMINGTON, IL 61704
McLean County (217) 714-7042

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 Lekiesha Sample's NPI number?

The NPI number for Lekiesha Sample is 1891692257. It was assigned to this individual provider in the NPPES registry on October 20, 2026.

Where is Lekiesha Sample located?

Lekiesha Sample practices at 2201 Eastland Dr Ste 4, Bloomington, IL 61704. The listed phone number is (217) 714-7042.

What is Lekiesha Sample'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 Lekiesha Sample was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.