Mia Sudkamp, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166001733 Issued in IL

Practice address

604 E Armory Ave
Champaign, IL 61820-6240

Phone

(402) 413-5668

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Bethany Psychotherapy & Wellness PLLC

  • Marriage & Family Therapist
  • Champaign, IL
  • NPI 1740134881
  NPD Authorized official

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1639847668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BEAR CREEK DR",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617049472",
            "telephone_number": "708-285-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E ARMORY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206240",
            "telephone_number": "402-413-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDKAMP",
        "first_name": "MIA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stringer Chiropractic Clinic
• Megan Strom, LSW
• April Dawn Sturgill
• Erin Sturm, LCPC
• Lydia Yanghee Su, LPC
• Sue Keller Counseling LLC
• Andy Elias Sullivan, B.S.
• Ria Sumitro
• Hannah Summers
• Jennifer Ann Marie Summers, MSW, LCSW

• Marriage & Family Therapist in Champaign, IL
• Providers in Champaign, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.