Organization Active NPI

Mind Over Matter Psychotherapy P.C.

  • Professional Counselor
  • Morris, IL
National Provider Identifier
1720803455
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Makayla Mulcahy, LCPCNPI 1861275588
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.