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JOHN LESLIE FRESHOUR LCPC
NPI 1902289994
Counselor - Professional in Bloomington, IL

Active since July 08, 2015PECOS EnrolledAccepts Medicare Assignment
616 IAA DR, BLOOMINGTON, IL 61701(309) 261-6129(309) 808-0617 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Jan 2, 2020, Jan 18, 2016 (3 updates tracked since 2016).

About John Leslie Freshour Lcpc NPPES

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

JOHN LESLIE FRESHOUR LCPC (NPI 1902289994) is an individual professional provider in Bloomington, Illinois, licensed in Illinois (180.009588) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1902289994
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN LESLIE FRESHOURCredential: LCPC
Location Address616 IAA DRBloomington, IL 61701-2225
Mailing Address616 Iaa DrBloomington, IL 61701-2225 · (309) 261-6129 · Fax (309) 808-0617
Phone(309) 261-6129
Fax(309) 808-0617
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 8, 2015
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1902289994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.009588
616 IAA DR, Bloomington, IL 61701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Leslie Freshour Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002281060
PECOS Enrollment IDI20240423004226
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

PAUL MEUTH
Counselor (Mental Health)
616 IAA DR
BLOOMINGTON, IL 61701
McLean County (309) 261-6129
COMPASS COUNSELORS LTD.
Physician Assistant
616 IAA DR
BLOOMINGTON, IL 61701
McLean County (309) 261-6129
DEBRA DESCARPENTRIE LPC
Counselor (Mental Health)
616 IAA DR
BLOOMINGTON, IL 61701
McLean County (309) 212-2205
JENIFER JOAN NIBBIO LCSW
Counselor (Professional)
616 IAA DR
BLOOMINGTON, IL 61701
McLean County (309) 531-1960
JENNIFER BELLE LPC
Counselor (Professional)
616 IAA DR
BLOOMINGTON, IL 61701
McLean County (309) 253-8862
MR. KENNETH NOEL MARTIN MA, LPC
Counselor (Mental Health)
616 IAA DR
BLOOMINGTON, IL 61701
McLean County (309) 838-7777

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 John Freshour's NPI number?

The NPI number for John Freshour is 1902289994. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Where is John Freshour located?

John Freshour practices at 616 Iaa Dr, Bloomington, IL 61701. The listed phone number is (309) 261-6129.

What is John Freshour's specialty?

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

Is John Freshour enrolled in Medicare?

Yes. John Freshour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for John Freshour was last updated on January 12, 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.