Organization Active NPI

Wandering Mind Counseling

  • Clinical Social Worker
  • Champaign, IL
National Provider Identifier
1245160019
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WANDERING MIND COUNSELING
Practice address
206 N Randolph St Ste 432
Champaign, IL 61820-3978
Phone
(765) 490-1667
NPI assigned
May 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Matthew Rogers, LCSWNPI 1922606235
Title
Manager/Owner
Phone
(765) 490-1667

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

206 N Randolph St Ste 432
Champaign, IL 61820-3978

Mailing address

206 N Randolph St Ste 432
Champaign, IL 61820-3978
Phone (765) 490-1667

National Provider Directory

National Provider Directory

Locations

206 N Randolph St
Ste 432
Champaign, IL 61820
Phone (217) 621-5609

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1245160019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 432",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203978",
            "telephone_number": "765-490-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N RANDOLPH ST STE 432",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203978",
            "telephone_number": "765-490-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDERING MIND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "765-490-1667",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 May 21, 2026; 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.