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Maitri Path To Wellness Pllc

Clinical Social Worker in Peru, IL · enumerated 2021 · authorized official Brenden Fasken, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184204950

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Registry record

Entity type Organization (Type 2)
Legal business name Maitri Path To Wellness Pllc
Practice address 710 Peoria St, Peru, IL, 61354
Fax (815) 410-1937
Enumeration date Apr 14, 2021
Last updated in NPPES Apr 19, 2024

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
104100000X Social Worker Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Primary

Authorized official

Name Brenden Fasken
Title Chief Operating Officer

Other identifiers

Identifier Type State Issuer
F100761217 Other IL MEDICARE
1184204950 Medicaid IL -

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.

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Frequently asked questions

Where is Maitri Path To Wellness Pllc located?
The practice location on file with NPPES is in Peru, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-04-19. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-19.