Active NPI
Healthy Minds Counseling, PLLC
- Professional Counselor
- Mahomet, IL
National Provider Identifier
1215529011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- HEALTHY MINDS COUNSELING, PLLC
- Practice address
- 601 E Main St Ste 201
Mahomet, IL 61853-7461 - Phone
- (309) 824-4378
- NPI assigned
- Feb 3, 2021
- Last updated
- Jun 25, 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
- Michelle L Rolley, LCPC
- Title
- Manager/President
- Phone
- (309) 825-6881
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
601 E Main St Ste 201
Mahomet, IL 61853-7461
Mailing address
601 E Main St Ste 201
Mahomet, IL 61853-7461
Phone (309) 232-8955
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, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Bloomington, IL
- NPI 1669626362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624579200000",
"number": "1215529011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E MAIN ST STE 201",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618537461",
"telephone_number": "309-232-8955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E MAIN ST STE 201",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618537461",
"telephone_number": "309-824-4378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY MINDS COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-03",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A",
"authorized_official_last_name": "ROLLEY",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MANAGER/PRESIDENT",
"authorized_official_telephone_number": "309-825-6881",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mahomet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.