Maitri Path to Wellness, PLLC
NPI 1598564429 · Substance Use Disorder Rehabilitation Clinic/Center · Wyoming, IL
Maitri Path to Wellness, PLLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Wyoming, IL (NPI 1598564429).
Provider details
- NPI number
- 1598564429
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brenden Fasken, Chief Operating Officer(815) 780-0690
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 710 Peoria StPeru, IL 61354-3262Phone: (815) 780-0690Fax: (815) 410-1937
Registry dates
- Enumerated
- 2025-03-12
- Last updated
- 2025-03-12
- Certified
- 2025-03-12
Frequently asked questions
- What is Maitri Path to Wellness, PLLC's NPI number?
- Maitri Path to Wellness, PLLC's National Provider Identifier (NPI) is 1598564429, 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 Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Maitri Path to Wellness, PLLC located?
- Maitri Path to Wellness, PLLC's practice location on file with NPPES is 101 W Williams St, Wyoming, IL 61491-1347.
- 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.
- 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 (1598564429) is active in the NPPES registry as of the last update on 2025-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.