IndividualActive
Katie Neidetcher, LCPC
NPI 1093376329 · Professional Counselor · Peoria, IL
Katie Neidetcher, LCPC is a Professional Counselor provider in Peoria, IL (NPI 1093376329).
Provider details
- NPI number
- 1093376329
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- License
- 180011916 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7210 N Villa Lake Dr Ste C
Peoria, IL 61614-8290
Phone: (309) 713-1485
Fax: (309) 419-4328
Street-level locationGet directions
Mailing address
Po Box 10286
Peoria, IL 61612-0286
Registry dates
- Enumerated
- 2019-06-26
- Last updated
- 2019-06-26
Frequently asked questions
- What is Katie Neidetcher's NPI number?
- Katie Neidetcher's National Provider Identifier (NPI) is 1093376329, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katie Neidetcher's specialty?
- Katie Neidetcher is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Katie Neidetcher located?
- Katie Neidetcher's practice location on file with NPPES is 7210 N Villa Lake Dr Ste C, Peoria, IL 61614-8290.
- What is Katie Neidetcher's phone number?
- The practice phone number listed in the NPPES registry for Katie Neidetcher is (309) 713-1485.
- Is Katie Neidetcher's NPI active?
- Yes — Katie Neidetcher's NPI (1093376329) is active in the NPPES registry as of the last update on 2019-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.