Active NPI
Merlin R. Mather, D.MIN., LCPC
- Pastoral Counselor
- Normal, IL
National Provider Identifier
1891718540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 403 W Virginia Ave
Normal, IL 61761-3666 - Phone
- (309) 268-2910
- Fax
- (309) 268-2913
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | IL | Primary | |
| Professional Counselor | 101YP2500X | IL |
Addresses
Primary practice location
403 W Virginia Ave
Normal, IL 61761-3666
Mailing address
PO Box 2451
Bloomington, IL 61702-2451
Phone (309) 268-2172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05732028 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180000566 | IL | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891718540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2451",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617022451",
"telephone_number": "309-268-2172",
"fax_number": "309-268-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W VIRGINIA AVE",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613666",
"telephone_number": "309-268-2910",
"fax_number": "309-268-2913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHER",
"first_name": "MERLIN",
"middle_name": "R.",
"credential": "D.MIN., LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05732028",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.