Maitri Path To Wellness Pllc
Maitri Path To Wellness Pllc is a healthcare organization registered as Mental Health Clinic/Center (Including Community Mental Health Center) in Peru, IL, holding Type 2 (organization) NPI 1053018242 since 2023. The authorized official on file is Brenden Fasken, Chief Operating Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053018242 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Maitri Path To Wellness Pllc |
| Practice address | 710 PEORIA ST, Peru, IL, 61354 |
| Phone | 8157800690 |
| Fax | 8154101937 |
| Enumeration date | 2023-02-08 |
| Last updated in NPPES | 2024-04-17 |
Authorized official
| Name | Brenden Fasken |
|---|---|
| Title | Chief Operating Officer |
| Phone | 8157800690 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | Primary | — | — |
Copy-ready billing details
Provider: Maitri Path To Wellness Pllc NPI: 1053018242 Taxonomy: 261QM0801X (Mental Health Clinic/Center (Including Community Mental Health Center)) Address: 710 PEORIA ST, Peru, IL, 61354
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558632786 | Patricia Michaels | Individual | Mental Health Counselor | Peru, IL |
| 1831692078 | Lisa Jones | Individual | Clinical Social Worker | Peru, IL |
| 1164988879 | Victoria Winterrose | Individual | Clinical Social Worker | Peru, IL |
| 1760049720 | Tamara Beaber | Individual | Clinical Social Worker | Peru, IL |
| 1184204950 | Maitri Path To Wellness Pllc | Organization | Clinical Social Worker | Peru, IL |
| 1306506308 | Patricia Pelaez | Individual | Addiction (Substance Use Disorder) Counselor | Peru, IL |
| 1629711858 | Rachel Edgcomb | Individual | Clinical Social Worker | Peru, IL |
| 1184359168 | Maitri Path To Wellness Pllc | Organization | Substance Use Disorder Rehabilitation Clinic/Center | Peru, IL |
Verify this record
Cross-check NPI 1053018242 against the authoritative CMS record: view Maitri Path To Wellness Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Maitri Path To Wellness Pllc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-17.