Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE PEARSON, LCPC, NCC, CADC
Active Sole ProprietorMental Health Counselor · EAST PEORIA, IL
Registration Details
- NPI Number
- 1679268916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2023 (3.0690180902931 yrs)
- Last Updated
- Apr 22, 2025
- License
-
180.014796 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
252 E WASHINGTON ST STE DEAST PEORIA, IL, 616112563Browse IL providers · Browse ZIP 61611
- Phone
- 3093395291
- Fax
- 3097770832
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| LILLIAN MERCHANT-SULLIVAN | PHD LCPC | 1629033279 |
| KEVIN J SCHROCK | O. T. | 1255482543 |
| RYAN KELLOG | — | 1114556719 |
| DANIELLE MCCOY | LCPC | 1174141220 |
| ELENA JENKINS | — | 1013620723 |
| REKA BROOKS | — | 1093531006 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.