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

Keith Dirl, LCPC

Individual provider Professional Counselor · NPI 1043107535

Keith Dirl, LCPC is a Mental Health Counselor in Peoria, Illinois. Qualified in 2002, 24 years ago. Practices with Sondermind PC, a 63-clinician group. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2025
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

416 Main St Ste 601
Peoria, IL 61602-3126
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180-005960 (IL)

Record details

NPI number1043107535
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJune 18, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address416 Main St Ste 601, Peoria, IL 61602-3126

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sondermind Pc — 63 clinicians
Accepts Medicare assignment Not indicated

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