Active NPI
Mind Over Matter Psychotherapy P.C.
- Professional Counselor
- Morris, IL
National Provider Identifier
1720803455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MIND OVER MATTER PSYCHOTHERAPY P.C.
- Practice address
- 1802 N Division St Ste 300
Morris, IL 60450-1184 - Phone
- (708) 620-7742
- NPI assigned
- Nov 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Makayla Mulcahy, LCPC
- Title
- Business Owner/ Licensed Therapist
- Phone
- (708) 620-7742
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1802 N Division St Ste 300
Morris, IL 60450-1184
Mailing address
1802 N Division St Ste 300
Morris, IL 60450-1184
Phone (708) 620-7742
National Provider Directory
National Provider DirectoryLocations
1802 N Division St
Ste 300
Morris, IL 60450
Phone (708) 620-7742
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Coal City, IL
- NPI 1861275588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731888000000",
"number": "1720803455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 N DIVISION ST STE 300",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501184",
"telephone_number": "708-620-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 N DIVISION ST STE 300",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501184",
"telephone_number": "708-620-7742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND OVER MATTER PSYCHOTHERAPY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A",
"authorized_official_last_name": "MULCAHY",
"authorized_official_first_name": "MAKAYLA",
"authorized_official_title_or_position": "BUSINESS OWNER/ LICENSED THERAPIST",
"authorized_official_telephone_number": "708-620-7742",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.