Mind Body Integrative Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIND BODY INTEGRATIVE COUNSELING PLLC

Practice address

17385 N 1100TH Rd
Macomb, IL 61455-8839

Phone

(309) 221-1544

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Draughan

Title

Owner/Manager

Phone

(309) 221-1544

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1538070115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17385 N 1100TH RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614558839",
            "telephone_number": "309-221-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17385 N 1100TH RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614558839",
            "telephone_number": "309-221-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY INTEGRATIVE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "DRAUGHAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "309-221-1544"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Lee McPherson, MD
• Medical Group of Macomb, LLC
• Xahara Alexandria Megod, MA, LCPC, R-DMT, CPT
• David L Miller, D.O.
• Shane Michael Miller, PHARMD
• Richard Earl Minter, D.O.
• Mitch and Chris Standard Inc. (Macomb Audiology and Hearing Aid Center)
• Idol Ray Mitchell, DPM
• Alison K Mixer, OTR/L
• MMB Dialysis, LLC (d/b/a Macomb Dialysis)

• Clinical Social Worker in Macomb, IL
• Providers in Macomb, 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 Sep 14, 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.