Mathy House Counseling Center, LP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149012714 Issued in IL

Legal business name

MATHY HOUSE COUNSELING CENTER, LP

Practice address

306 W Green St
Urbana, IL 61801-3222

Phone

(217) 621-3014

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Eileen M Mathy

Title

Owner

Phone

(217) 621-3014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413072000000",
    "number": "1124430798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 N NOTTINGHAM CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217017",
            "telephone_number": "217-621-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W GREEN ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013222",
            "telephone_number": "217-621-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHY HOUSE COUNSELING CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-10-12",
        "status": "A",
        "authorized_official_last_name": "MATHY",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-621-3014"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyoab Mathewos Massebo, MD
• Elizabeth Joy Masters, MSN, FNP-BC
• Joe Mata
• Mathewson Counseling PLLC
• Mathy House Counseling Center
• Eileen Mary Mathy, LCSW
• Jacqueline Matsela, OT
• Elizabeth A. Matthias, LCSW
• Sheila Elaine Maxwell, APN-CNP, CNM
• Tracy A Maxwell, CRNA

• Clinical Social Worker in Urbana, IL
• Providers in Urbana, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2014; 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.