JOHN LESLIE FRESHOUR (LCPC) – Professional Counselor, NPI 1902289994

JOHN LESLIE FRESHOUR (LCPC) is a healthcare provider. based in Bloomington, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180.009588 (IL). The NPI Number for JOHN LESLIE FRESHOUR (LCPC) is 1902289994

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JOHN LESLIE FRESHOUR (LCPC)
NPI
1902289994
Phone
(309) 261-6129
Address
616 IAA DR
Enumeration Date
8 July 2015
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3092616129
Graduation Year
2010 (16 years ago)
PAC ID
6002281060
Group Practice PAC ID
1951740901
Professional Enrollment ID
I20240423004226
Address ID
IL617012225BL616XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

2,308 MENTAL HEALTH COUNSELOR in IL

Provider Addresses for JOHN LESLIE FRESHOUR (LCPC)

  • 616 IAA DR

    BLOOMINGTON, IL 617012225

    Phone: (309) 261-6129

    Fax: (309) 808-0617

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240423004226IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951740901View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

How do payers reference JOHN LESLIE FRESHOUR (LCPC)?
For JOHN LESLIE FRESHOUR (LCPC), use NPI 1902289994 as the unique 10-digit identifier.
Is JOHN LESLIE FRESHOUR (LCPC) still an active registrant?
JOHN LESLIE FRESHOUR (LCPC) carries an active NPI according to the public dataset.
How would a patient describe JOHN LESLIE FRESHOUR (LCPC)'s focus?
For JOHN LESLIE FRESHOUR (LCPC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN LESLIE FRESHOUR (LCPC)?
Directory geography for JOHN LESLIE FRESHOUR (LCPC) centers on Bloomington, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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