Mindy Jane Marion, QMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1801 Fox Dr
Champaign, IL 61820-7236

Phone

(217) 693-4575

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mindy Jane Simpson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114016011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W CHURCH ST",
            "city": "VILLA GROVE",
            "state": "IL",
            "postal_code": "619561113",
            "telephone_number": "217-620-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 FOX DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207236",
            "telephone_number": "217-693-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "MINDY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "SIMPSON",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "QMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tidjani Maouloud
• Maria Louisa B. Maranon, M.D.
• Karlo Marcelo, LCSW
• Nicole Marini, DPT
• Akeiaonda Marion-Pelmore
• Mark Huls D.M.D., P.C.
• Emily Alice Markwood, DMD
• Shahram Maroof, M.D.
• Kathy Marren, GNP
• Richard Gerald Marrs, R.PH.

• Mental Health Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.