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MINDWORKS MENTAL HEALTH
NPI 1992379234
Counselor - Professional in Champaign, IL

Active since May 19, 2021
328 N. NEIL. ST, SUIT B, CHAMPAIGN, IL 61820(217) 722-6336(217) 354-9107 Get Directions Write a Review

NPPES record last updated: July 31, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2021, Jun 3, 2021, May 19, 2021 (3 updates tracked since 2021).

About Mindworks Mental Health NPPES

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

MINDWORKS MENTAL HEALTH (NPI 1992379234) is a healthcare organization registered as a professional in Champaign, Illinois and active in the NPI registry since May 2021. The organization lists Angela Peregud-aksimentyeva, Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1992379234
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMINDWORKS MENTAL HEALTH
Location Address328 N. NEIL. ST, SUIT BChampaign, IL 61820-3949
Mailing Address3303 S Pine CirUrbana, IL 61802-7130 · (217) 721-3263
Phone(217) 722-6336
Fax(217) 354-9107
Organization SubpartNo
Authorized OfficialAngela Peregud-aksimentyevaClinical Therapist · (217) 721-3263
Enumeration DateMay 19, 2021
Last NPPES UpdateJuly 31, 20213 updates tracked since enumeration
NPPES CertifiedJuly 10, 2021
✔ NPI 1992379234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
328 N. NEIL. ST, SUIT B, Champaign, IL 61820
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Other Identifiers 1

Medicaid33602IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mindworks Mental Health's NPI number?

The NPI number for Mindworks Mental Health is 1992379234. It was assigned to this organization in the NPPES registry on May 19, 2021.

Where is Mindworks Mental Health located?

Mindworks Mental Health is located at 328 N. Neil. St, Suit B, Champaign, IL 61820. The listed phone number is (217) 722-6336.

What is Mindworks Mental Health's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mindworks Mental Health was last updated on July 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.