Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
FULLRIEDE PROFESSIONAL COUNSELING INC.
Active
Organization
FULLRIEDE PROFESSIONAL COUNSELING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY FAE FULLRIEDE LCPC (PRESIDENT)
(815) 584-6383
Entity
Organization
Contact information
Practice address
2404 E EMPIRE ST # 110, BLOOMINGTON, IL 61704-3630
(815) 584-6383
Mailing address
2404 E EMPIRE ST STE 110, BLOOMINGTON, IL 61704-3630
(815) 584-6383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/23/2026
Last updated
09/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up