Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fullriede Professional Counseling Inc

Organization Mental Health Counselor · NPI 1043140650

Fullriede Professional Counseling Inc provides Mental Health Counselor services in Bloomington, Illinois. Registered with an NPI since 2026.

In the registry since
2026
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

2404 E Empire St # 110
Bloomington, IL 61704-3630
Phone: (815) 584-6383
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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 NPPESSeptember 2, 2026
Certification dateSeptember 2, 2026
Mailing address2404 E Empire St Ste 110, Bloomington, IL 61704-3630

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