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

Katie Neidetcher, LCPC

Individual provider Professional Counselor · NPI 1093376329

Katie Neidetcher, LCPC is a Mental Health Counselor in Peoria, Illinois. Qualified in 2016, 10 years ago. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2019
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7210 N Villa Lake Dr Ste C
Peoria, IL 61614-8290
Phone: (309) 713-1485
Fax: (309) 419-4328
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180011916 (IL)

Record details

NPI number1093376329
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESJune 26, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Peoria