Active NPI
Bodhi Counseling & Consulting Center, PC
- Community/Behavioral Health Agency
- Champaign, IL
National Provider Identifier
1013684901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BODHI COUNSELING & CONSULTING CENTER, PC
- Practice address
- 100 Trade Centre Dr Ste 302
Champaign, IL 61820-7233 - Phone
- (217) 731-4638
- NPI assigned
- Aug 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Sivley, LCWS
- Title
- Owner
- Phone
- (217) 731-4638
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
100 Trade Centre Dr Ste 302
Champaign, IL 61820-7233
Mailing address
212 E Marshall St
Tolono, IL 61880-9549
Phone (217) 731-4638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
100 Trade Centre Dr
Ste 302
Champaign, IL 61820
Phone (217) 731-4638
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Champaign, IL
- NPI 1790661098
-
- Psychiatric/Mental Health Nurse Practitioner
- Mahomet, IL
- NPI 1609604727
-
- Clinical Social Worker
- Champaign, IL
- NPI 1861936411
-
- Counselor
- Champaign, IL
- NPI 1669216586
-
- Social Worker
- Champaign, IL
- NPI 1073378527
-
- Clinical Social Worker
- Champaign, IL
- NPI 1740059724
-
- Clinical Social Worker
- Champaign, IL
- NPI 1669036489
-
- Social Worker
- Champaign, IL
- NPI 1922985365
-
- Social Worker
- Champaign, IL
- NPI 1750195459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1013684901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 E MARSHALL ST",
"city": "TOLONO",
"state": "IL",
"postal_code": "618809549",
"telephone_number": "217-731-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TRADE CENTRE DR STE 302",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207233",
"telephone_number": "217-731-4638"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODHI COUNSELING & CONSULTING CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-27",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "SIVLEY",
"authorized_official_first_name": "MELANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-731-4638",
"authorized_official_credential": "LCWS"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.