Healthcare Provider Details

I. General information

NPI: 1225912231
Provider Name (Legal Business Name): COMPASS COUNSELORS LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 IAA DR
BLOOMINGTON IL
61701-2225
US

IV. Provider business mailing address

616 IAA DR
BLOOMINGTON IL
61701-2225
US

V. Phone/Fax

Practice location:
  • Phone: 309-261-6129
  • Fax:
Mailing address:
  • Phone: 309-261-6129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JOHN LESLIE FRESHOUR
Title or Position: PRESIDENT AND LCPC
Credential:
Phone: 309-261-6129