MS. ASHLEY FULLRIEDE LPC NPI 1821701996

NPI Information

  • NPI: 1821701996
  • Provider Name: MS. ASHLEY FULLRIEDE, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 205 N WILLIAMSBURG DR
    BLOOMINGTON, IL
    ZIP 61704
  • Phone: (309) 807-5077

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NPI Details

MS. Ashley Fullriede, LPC is a mental health counselor in Bloomington, IL. MS. Ashley Fullriede, LPC NPI is 1821701996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

205 N WILLIAMSBURG DR
BLOOMINGTON, IL
ZIP 61704-706
Phone: (309) 807-5077

The enumeration date for this NPI number is 1/3/2023 and was last updated on 1/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health178018774ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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