Maitri Path to Wellness PLLC
NPI 1184204950 · Clinical Social Worker · Peru, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maitri Path to Wellness PLLC is a Clinical Social Worker organization in Peru, IL (NPI 1184204950).
Provider details
- NPI number
- 1184204950
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Brenden Fasken, Chief Operating Officer(815) 780-0690
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Mailing address
Registry dates
- Enumerated
- 2021-04-14
- Last updated
- 2024-04-19
- Certified
- 2024-04-19
Frequently asked questions
- What is Maitri Path to Wellness PLLC's NPI number?
- Maitri Path to Wellness PLLC's National Provider Identifier (NPI) is 1184204950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maitri Path to Wellness PLLC?
- Maitri Path to Wellness PLLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Maitri Path to Wellness PLLC located?
- Maitri Path to Wellness PLLC's practice location on file with NPPES is 710 Peoria St, Peru, IL 61354-3351.
- What is Maitri Path to Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Maitri Path to Wellness PLLC is (815) 780-0690.
- Does Maitri Path to Wellness PLLC accept Medicare?
- Maitri Path to Wellness PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maitri Path to Wellness PLLC?
- The authorized official listed on Maitri Path to Wellness PLLC's NPPES record is Brenden Fasken, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maitri Path to Wellness PLLC's NPI active?
- Yes — Maitri Path to Wellness PLLC's NPI (1184204950) is active in the NPPES registry as of the last update on 2024-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.