Mackinze Thill, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.020592 Issued in IL

Practice address

828 N Underhill St Apt 101
Peoria, IL 61606-1746

Phone

(319) 350-6105

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1992532535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 N UNDERHILL ST APT 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061746",
            "telephone_number": "319-350-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 N UNDERHILL ST APT 101",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061746",
            "telephone_number": "319-350-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILL",
        "first_name": "MACKINZE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.020592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Sanction Community Outreach
• Jacey Melissa Thelen
• Melissa M Theobald, FNP
• Allecia Thibeault, FNP
• Megan Thibodeau, APN
• Thomas C. Ferlmann DMD , PC
• Thomas F Kouri Internal Medicine Inc
• Ashley Thomas, MS, RD/LDN
• Kathy Ann Thomas, MSW
• Kayla Thomas, DO

• Mental Health Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.