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

Victoria Fetter

Individual provider Counselor · NPI 1003439340

Victoria Fetter is a Mental Health Counselor in Bloomington, Illinois. Qualified in 2020, 6 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

808 S Eldorado Rd Ste 102
Bloomington, IL 61704-6075
Phone: (888) 428-7890
Fax: (877) 428-7891
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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 · Licence 180015113 (IL)
Counselor Taxonomy 101Y00000X · Licence 180.015113 (IL)
Professional Counselor Taxonomy 101YP2500X · Licence 180015113 (IL)

Record details

NPI number1003439340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2020
Last updated in NPPESJanuary 23, 2025
Certification dateJanuary 23, 2025
Mailing address808 S Eldorado Rd Ste 102, Bloomington, IL 61704-6075

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bloomington