Organization Active NPI

Matters of the Mind Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Carpentersville, IL
National Provider Identifier
1629864004
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MATTERS OF THE MIND THERAPY PLLC
Practice address
218 N Grove St
Carpentersville, IL 60110-1869
Phone
(847) 302-8827
NPI assigned
Apr 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Andriana Koltko, LCPC
Title
Owner
Phone
(847) 302-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

218 N Grove St
Carpentersville, IL 60110-1869

Mailing address

2810 Exhibition Dr
Duluth, MN 55811-5345
Phone (847) 302-8827

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1629864004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 EXHIBITION DR",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115345",
            "telephone_number": "847-302-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N GROVE ST",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601101869",
            "telephone_number": "847-302-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTERS OF THE MIND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "KOLTKO",
        "authorized_official_first_name": "ANDRIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-302-8827",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpentersville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.