Bethany Psychotherapy & Wellness PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BETHANY PSYCHOTHERAPY & WELLNESS PLLC

Practice address

604 E Armory Ave
Champaign, IL 61820-6240

Phone

(402) 413-5668

NPI assigned

Feb 25, 2026

Organization subpart

No

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

Authorized official

Name

Mia F Sudkamp, LMFTNPI 1639847668

Title

Owner

Phone

(708) 285-0624

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mia Sudkamp, LMFT

  • Marriage & Family Therapist
  • Champaign, IL
  • NPI 1639847668
  NPD Authorized official

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1740134881",
    "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": "402-413-5668"
        },
        {
            "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": {
        "organization_name": "BETHANY PSYCHOTHERAPY & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "SUDKAMP",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-285-0624",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan R Bernier
• Ben Bernstein, LCSW
• Phyllis Anne Berry
• William Edson Berryman, M.S.ED.
• Kelli Bertram
• Better Play Performance & Rehab PLLC
• Better Tomorrows- C a Winkler Counseling Services
• Lena Beuoy
• BG General & Custom Services,Inc.
• Maneesha Bhatt, MD

• 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 Feb 25, 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.