Active NPI
MDT Holistic Healing and Counseling
- Professional Counselor
- Mattoon, IL
National Provider Identifier
1093527087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MDT HOLISTIC HEALING AND COUNSELING
- Practice address
- 2317 Western Ave
Mattoon, IL 61938-2644 - Phone
- (217) 348-5377
- NPI assigned
- Jan 25, 2025
- 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
- Mike Tozer, LCPC
- Title
- Owner
- Phone
- (217) 348-5377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
2317 Western Ave
Mattoon, IL 61938-2644
Mailing address
2317 Western Ave
Mattoon, IL 61938-2644
Phone (217) 348-5377
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Danville, IL
- NPI 1053649301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738022400000",
"number": "1093527087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2317 WESTERN AVE",
"city": "MATTOON",
"state": "IL",
"postal_code": "619382644",
"telephone_number": "217-348-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 WESTERN AVE",
"city": "MATTOON",
"state": "IL",
"postal_code": "619382644",
"telephone_number": "217-348-5377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MDT HOLISTIC HEALING AND COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-25",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A",
"authorized_official_last_name": "TOZER",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-348-5377",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattoon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.