IndividualActive
Ellen Kiesewetter, LCPC
NPI 1710080320 · Counselor · Peoria, IL
Ellen Kiesewetter, LCPC is a Counselor provider in Peoria, IL (NPI 1710080320).
Provider details
- NPI number
- 1710080320
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
6615 N Big Hollow Rd
Peoria, IL 61615-2451
Phone: (309) 692-6622
Fax: (309) 692-6952
Street-level locationGet directions
Mailing address
6615 N Big Hollow Rd
Peoria, IL 61615-2451
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Ellen Kiesewetter's NPI number?
- Ellen Kiesewetter's National Provider Identifier (NPI) is 1710080320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ellen Kiesewetter's specialty?
- Ellen Kiesewetter is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Ellen Kiesewetter located?
- Ellen Kiesewetter's practice location on file with NPPES is 6615 N Big Hollow Rd, Peoria, IL 61615-2451.
- What is Ellen Kiesewetter's phone number?
- The practice phone number listed in the NPPES registry for Ellen Kiesewetter is (309) 692-6622.
- Is Ellen Kiesewetter's NPI active?
- Yes — Ellen Kiesewetter's NPI (1710080320) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.