MATT DOMICO LCSW LLC
NPI 1962294629
Clinic/Center - Adult Mental Health in Peoria, IL
NPI Status: Active since May 20, 2025
Contact Information
5901 N PROSPECT RD STE 105
PEORIA, IL
ZIP 61614
Phone: (815) 701-6317
- Organization
- Clinic/Center
- Adult Mental Health
About MATT DOMICO LCSW LLC
This page provides the complete NPI Profile along with additional information for Matt Domico Lcsw Llc, a provider established in Peoria, Illinois operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1962294629 assigned on May 2025. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Matt Domico Lcsw (Ceo)
- NPI
- 1962294629
- Provider Name
- MATT DOMICO LCSW LLC
- Entity Type
- Organization
- Location Address
- 5901 N PROSPECT RD STE 105 PEORIA, IL 61614
- Location Phone
- (815) 701-6317
- Mailing Address
- 5901 N PROSPECT RD STE 105 PEORIA, IL 61614
- Mailing Phone
- (815) 701-6317
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2025
- Last Update Date
- 05-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1962294629, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
PEORIA, IL 61614
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962294629, enumerated as an "organization" on May 20, 2025.
The provider is located at 5901 N PROSPECT RD STE 105 PEORIA, IL 61614 and the phone number is (815) 701-6317.
Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.
