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DR. JOSEPH MATTHEW MITCHELL PH.D.
NPI 1255829081
Psychologist - Clinical in Bloomington, IL

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
2103 E WASHINGTON ST STE 1D, BLOOMINGTON, IL 61701(773) 245-6704 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2022, Apr 26, 2018 (2 updates tracked since 2018).

About Dr. Joseph Matthew Mitchell Ph.d. NPPES

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

DR. JOSEPH MATTHEW MITCHELL PH.D. (NPI 1255829081) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (071.010644) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255829081
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOSEPH MATTHEW MITCHELLCredential: PH.D.
Location Address2103 E WASHINGTON ST STE 1DBloomington, IL 61701-4310
Mailing Address129 Crossing DrNormal, IL 61761-4780 · (773) 891-6135
Phone(773) 245-6704
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 26, 2018
Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
✔ NPI 1255829081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.010644
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 6301017411 (MI)
2103 E WASHINGTON ST STE 1D, Bloomington, IL 61701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joseph Matthew Mitchell Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850824111
PECOS Enrollment IDI20241025001536
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

J. MITCHELL COUNSELING, PLLC
Psychologist (Clinical)
2103 E WASHINGTON ST STE 1D
BLOOMINGTON, IL 61701
McLean County (773) 245-6704
BERNADETTE RAY MD
Family Medicine
2103 E WASHINGTON ST STE 1D
BLOOMINGTON, IL 61701
McLean County (888) 240-1121
LEN CHILDERS LCSW COUNSELING SERVICES, PLLC
Social Worker (Clinical)
2103 E WASHINGTON ST STE 1D
BLOOMINGTON, IL 61701
McLean County (917) 885-1344
THRIVE CHILD PSYCHOLOGY, LLC
Psychologist (Clinical Child & Adolescent)
2103 E WASHINGTON ST STE 1D
BLOOMINGTON, IL 61701
McLean County (941) 416-1743
PAXCIA COUNSELING SERVICES PLLC
Counselor (Mental Health)
2103 E WASHINGTON ST STE 1D
BLOOMINGTON, IL 61701
McLean County (309) 212-5109
EYECARE ASSOCIATES, LLP
Eyewear Supplier
2103 E WASHINGTON ST STE 1D
BLOOMINGTON, IL 61701
McLean County (309) 662-2277

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 Joseph Mitchell's NPI number?

The NPI number for Joseph Mitchell is 1255829081. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Joseph Mitchell located?

Joseph Mitchell practices at 2103 E Washington St Ste 1D, Bloomington, IL 61701. The listed phone number is (773) 245-6704.

What is Joseph Mitchell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Joseph Mitchell enrolled in Medicare?

Yes. Joseph Mitchell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Joseph Mitchell was last updated on February 28, 2024. 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.