Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Central Illinois Friends of Pwa, Inc

Organization Mental Health Counselor · NPI 1922945542

Central Illinois Friends of Pwa, Inc is a Mental Health Counselor in Peoria, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2112 E War Memorial Dr
Peoria, IL 61614-8002
Phone: (309) 431-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Nurse Practitioner (primary) Taxonomy 363LC1500X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X
Community Health Clinic/Center Taxonomy 261QC1500X

Record details

NPI number1922945542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deric Kimler — Executive Director · (309) 431-5880
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address2112 E War Memorial Dr, Peoria, IL 61614-8002

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