Wendy Mathewson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178019619 Issued in IL

Practice address

201 W Springfield Ave Ste 210
Champaign, IL 61820-4877

Phone

(217) 403-3352

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mathewson Counseling PLLC

  • Mental Health Counselor
  • Urbana, IL
  • NPI 1851226534
  NPD Authorized official
• Grounded Life Counseling, PLLC

  • Professional Counselor
  • Champaign, IL
  • NPI 1528854940
  NPD
• True North PTSD Center

  • Professional Counselor
  • Champaign, IL
  • NPI 1023566486
  NPD (past)

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1336914399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MCCULLOUGH ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013938",
            "telephone_number": "312-315-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 210",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618204877",
            "telephone_number": "217-403-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWSON",
        "first_name": "WENDY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178019619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellie Masengale, LSW
• Dynesha Dione Mason-Grissom, PH.D.
• Deetra Michelle Mason
• Katelyn Mason
• Rachel Mateyka
• Rachel McCullough Matthews, D.MIN., LPC, LCPC
• Venu Maturi, DDS
• Douglas G Matzner, D.C.
• Alexis Maubach
• Carol Weissmann Mauck, MSW, LCSW,ACSW

• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.