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JACOB HOLTHOFF
NPI 1063150175
Counselor - Professional in Champaign, IL

Active since May 27, 2022
201 W SPRINGFIELD AVE STE 1201, CHAMPAIGN, IL 61820(217) 722-9079(217) 501-4322 Get Directions Write a Review

NPPES record last updated: January 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Holthoff NPPES

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

JACOB HOLTHOFF (NPI 1063150175) is an individual professional provider in Champaign, Illinois, licensed in Illinois (178018951) and active in the NPI registry since May 2022. He maintains a secondary practice location in Mahomet.

NPPES Registry Identity

NPI1063150175
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB HOLTHOFF
Location Address201 W SPRINGFIELD AVE STE 1201Champaign, IL 61820-6385
Mailing Address201 W Springfield Ave Ste 1201Champaign, IL 61820-6385 · (217) 722-9079
Phone(217) 722-9079
Fax(217) 501-4322
Sole ProprietorYes
Enumeration DateMay 27, 2022
Last NPPES UpdateJanuary 18, 2025
NPPES CertifiedJanuary 18, 2025
✔ NPI 1063150175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178018951
201 W SPRINGFIELD AVE STE 1201, Champaign, IL 61820
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Secondary Practice Location 1

Location 11612 Patton DrMahomet, IL 61853-8157 · Phone (217) 590-4178 · Fax (217) 501-4322

Other Identifiers 1

Medicaid1063150175IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MR. ROBERT J MCNICHOLL MSW, LCSW
Social Worker (Clinical)
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820
Champaign County (217) 722-9079
LAUREN DUGGINS
Social Worker
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820
Champaign County (217) 722-9079
GRACE LOCKETT
Social Worker
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820
Champaign County (217) 722-9079
BRANDIE CIOTA LSW
Social Worker (Clinical)
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820
Champaign County (217) 722-9079
ERIN M GALEN LSW
Social Worker
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820
Champaign County (217) 722-9079
HALEY N MCCORMICK
Social Worker
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820
Champaign County (217) 722-9079
CAITLIN BOTCHER
Social Worker
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820
Champaign County (217) 722-9079
ANTHONY ALEXANDER WIRTH MS
Counselor
201 W SPRINGFIELD AVE STE 1201
CHAMPAIGN, IL 61820
Champaign County (217) 722-9079

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 Jacob Holthoff's NPI number?

The NPI number for Jacob Holthoff is 1063150175. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Jacob Holthoff located?

Jacob Holthoff practices at 201 W Springfield Ave Ste 1201, Champaign, IL 61820. The listed phone number is (217) 722-9079.

What is Jacob Holthoff's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacob Holthoff was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.