MEDICARE: SCHUBACH COUNESLING, CONSULTING & TRAINING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1689562472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHUBACH COUNESLING, CONSULTING & TRAINING PLLC

Provider Business Mailing Address
First Line	:	1519 W MOSS AVE
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61606-1639
Country	:	US
Telephone Number	:	309-360-3108
Fax Number	:	309-360-3108

Provider Business Practice Location Address
First Line	:	4507 N STERLING AVE
Second Line	:	SUITE 210
City	:	PEORIA
State	:	IL
Zip	:	61615-3861
Country	:	US
Telephone Number	:	309-657-1246
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MENTAL HEALTH THERAPIST
Name	:	SAMANTHA LOUISE SCHUBACH
Credential	:	LCPC
Telephone Number	:	309-360-3108

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

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