MICHELLE MATZKE MA, LCPC
NPI 1053199612
Counselor - Mental Health in Peoria, IL

Active since September 15, 2023
7210 N VILLA LAKE DR STE C, PEORIA, IL 61614(309) 713-1485(309) 419-4328 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Matzke Ma, Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE MATZKE MA, LCPC (NPI 1053199612) is an individual mental health provider in Peoria, Illinois, licensed in Illinois (180.015318) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1053199612
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE MATZKECredential: MA, LCPC
Location Address7210 N VILLA LAKE DR STE CPeoria, IL 61614-8290
Mailing Address7210 N Villa Lake Dr Ste CPeoria, IL 61614-8290 · (309) 713-1485 · Fax (309) 419-4328
Fax(309) 419-4328
Sole ProprietorYes
Enumeration DateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
NPI 1053199612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.015318
7210 N VILLA LAKE DR STE C, Peoria, IL 61614

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Social Worker (Clinical)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Counselor (Professional)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Counselor
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Marriage & Family Therapist
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Counselor (Mental Health)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Counselor (Professional)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614
Counselor (Professional)
7210 N VILLA LAKE DR STE C
PEORIA, IL 61614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Matzke's NPI number?

The NPI number for Michelle Matzke is 1053199612. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Michelle Matzke located?

Michelle Matzke practices at 7210 N Villa Lake Dr Ste C, Peoria, IL 61614. The listed phone number is (309) 713-1485.

What is Michelle Matzke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michelle Matzke was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.