JACQUELINE RENEE MATHIAS
NPI 1609978485
Counselor - Mental Health in Bloomington, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since September 02, 2006

108 W MARKET ST, BLOOMINGTON, IL 61701(309) 827-5351(309) 829-6806 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jacqueline Renee Mathias NPPES

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

JACQUELINE RENEE MATHIAS (NPI 1609978485) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1609978485

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACQUELINE RENEE MATHIAS

Location Address108 W MARKET STBloomington, IL 61701-3918

Mailing Address1312 Eastholme AveBloomington, IL 61701-1932 · (309) 827-5077

Phone(309) 827-5351

Fax(309) 829-6806

Sole ProprietorYes

Enumeration DateSeptember 2, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609978485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

108 W MARKET ST, Bloomington, IL 61701

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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.

DONALD NARDI TAYLOR

Counselor (Professional)