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

Fullriede Professional Counseling

Organization Mental Health Counselor · NPI 1043140650

Fullriede Professional Counseling is a Mental Health Counselor in Bloomington, Illinois. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2404 E Empire St # 110
Bloomington, IL 61704-3630
Phone: (815) 584-6383
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1043140650
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Fullriede — President · (815) 584-6383
NPI enumeratedMay 23, 2026
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026
Mailing address2404 E Empire St Ste 110, Bloomington, IL 61704-3630

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