1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Counselor
  6. NPI Profile

MILLICENT MUTISYA
NPI 1891493797
Counselor in Peoria, IL

Active since February 20, 2023
1115 N NORTH ST STE C, PEORIA, IL 61606(309) 839-8984 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Millicent Mutisya NPPES

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

MILLICENT MUTISYA (NPI 1891493797) is an individual counselor in Peoria, Illinois and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1891493797
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMILLICENT MUTISYA
Location Address1115 N NORTH ST STE CPeoria, IL 61606-1959
Mailing Address1801 Watermark DrColumbus, OH 43215-7088
Phone(309) 839-8984
Sole ProprietorYes
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1891493797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1115 N NORTH ST STE C, Peoria, IL 61606
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

EMILY WALLS
Community Health Worker
1115 N NORTH ST STE C
PEORIA, IL 61606
Peoria County (309) 839-8984
JESSICA STEAR LCSW
Social Worker (Clinical)
1115 N NORTH ST STE C
PEORIA, IL 61606
Peoria County (309) 839-8984
NATIONAL YOUTH ADVOCATE PROGRAM, INC
Community/Behavioral Health
1115 N NORTH ST STE C
PEORIA, IL 61606
Peoria County (708) 747-2655
MEGAN DAVIS
Community Health Worker
1115 N NORTH ST STE C
PEORIA, IL 61606
Peoria County (309) 839-8984
BRANDY JONES
Community Health Worker
1115 N NORTH ST STE C
PEORIA, IL 61606
Peoria County (309) 839-8984

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 Millicent Mutisya's NPI number?

The NPI number for Millicent Mutisya is 1891493797. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Where is Millicent Mutisya located?

Millicent Mutisya practices at 1115 N North St Ste C, Peoria, IL 61606. The listed phone number is (309) 839-8984.

What is Millicent Mutisya's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Millicent Mutisya was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.