Average Joe Psychiatric Services, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AVERAGE JOE PSYCHIATRIC SERVICES, PLLC

Practice address

220 Red Bud Dr
Mahomet, IL 61853-9604

Phone

(217) 714-1006

NPI assigned

Feb 26, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Daniel T Foutch, APRN, PMHNP-BCNPI 1669149134

Title

Ceo

Phone

(217) 714-1006

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.

• Daniel Thomas Foutch, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Champaign, IL
  • NPI 1669149134
  NPD Authorized official

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1932906005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 RED BUD DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539604",
            "telephone_number": "217-714-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 RED BUD DR",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539604",
            "telephone_number": "217-714-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERAGE JOE PSYCHIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "FOUTCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-714-1006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Novinska, LCPC, PLLC
• Armetta Chiropractic and Rehab, LLC
• Ryan Armetta, DC
• Nicole L Arnold, D.O.
• Meldomi Asabea Asante, NP
• Jill Babey, DPT
• Lara B Bartels, PA
• Steve Baum
• Sara Bell, P.T.
• Laura Berman, MA

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.