Mindworks Mental Health

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MINDWORKS MENTAL HEALTH

Practice address

328 N. Neil. St, Suit B
Champaign, IL 61820-3949

Phone

(217) 722-6336

Fax

(217) 354-9107

NPI assigned

May 19, 2021

Organization subpart

No

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

Authorized official

Name

Angela Peregud-Aksimentyeva, LCPCNPI 1952707853

Title

Clinical Therapist

Phone

(217) 721-3263

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Angela Peregud-Aksimentyeva, LCPC

  • Professional Counselor
  • Danville, IL
  • NPI 1952707853
  NPD Authorized official

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627689600000",
    "number": "1992379234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S PINE CIR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618027130",
            "telephone_number": "217-721-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N. NEIL. ST, SUIT B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203949",
            "telephone_number": "217-722-6336",
            "fax_number": "217-354-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWORKS MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-10",
        "status": "A",
        "authorized_official_last_name": "PEREGUD-AKSIMENTYEVA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CLINICAL THERAPIST",
        "authorized_official_telephone_number": "217-721-3263",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33602",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Miller, NP
• Tytrick Miller
• Timothy A Millikan, PT
• Ashley Lynn Mills
• Mindful Aspirations Counseling and Consulting, LLC.
• Susan Elaine Minyard, PH D
• Holly N Mirell, PHD
• Philip Norman Mirell, MSW
• Luis Pedro Miron Carcamo
• Sabrina Mirza

• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; 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.