PERSIMMON TREE COUNSELING, LLC
NPI 1710610613
Clinic/Center - Mental Health (Including Community Mental Health Center) in Bloomington, IL

Q: What is Persimmon Tree Counseling, LLC's NPI number?

The NPI number for Persimmon Tree Counseling, LLC is 1710610613. It was assigned to this organization in the NPPES registry on July 7, 2022.

Q: What is Persimmon Tree Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since July 07, 2022

207 W JEFFERSON ST STE 401, BLOOMINGTON, IL 61701(309) 431-1296 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2022, Jul 7, 2022 (2 updates tracked since 2022).

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About Persimmon Tree Counseling, Llc NPPES

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

PERSIMMON TREE COUNSELING, LLC (NPI 1710610613) is a healthcare organization registered as a mental health (including community mental health center) in Bloomington, Illinois and active in the NPI registry since July 2022. The organization lists Matthew Hickman, Manager, as its authorized official.

NPPES Registry Identity

NPI1710610613

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NamePERSIMMON TREE COUNSELING, LLC

Location Address207 W JEFFERSON ST STE 401Bloomington, IL 61701-3969

Mailing Address807 S Grove StNormal, IL 61761-2840 · (309) 287-6379

Phone(309) 431-1296

Organization SubpartNo

Authorized OfficialMatthew HickmanManager · (309) 431-1296

Enumeration DateJuly 7, 2022

Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1710610613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

207 W JEFFERSON ST STE 401, Bloomington, IL 61701

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Other Providers at the Same Location NPPES

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

MATT HICKMAN LCPC

Counselor (Professional)

207 W JEFFERSON ST STE 401
BLOOMINGTON, IL 61701

McLean County (309) 431-1296

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 Persimmon Tree Counseling, LLC's NPI number?

The NPI number for Persimmon Tree Counseling, LLC is 1710610613. It was assigned to this organization in the NPPES registry on July 7, 2022.

Where is Persimmon Tree Counseling, LLC located?

Persimmon Tree Counseling, LLC is located at 207 W Jefferson St Ste 401, Bloomington, IL 61701. The listed phone number is (309) 431-1296.

What is Persimmon Tree Counseling, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Persimmon Tree Counseling, LLC was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.