Persimmon Tree Counseling, LLC
NPI 1710610613 · Mental Health Clinic/Center (Including Community Mental Health Center) · Bloomington, IL
Persimmon Tree Counseling, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Bloomington, IL (NPI 1710610613).
Provider details
- NPI number
- 1710610613
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Matthew Hickman, Manager(309) 431-1296
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-07
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Frequently asked questions
- What is Persimmon Tree Counseling, LLC's NPI number?
- Persimmon Tree Counseling, LLC's National Provider Identifier (NPI) is 1710610613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Persimmon Tree Counseling, LLC?
- Persimmon Tree Counseling, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Persimmon Tree Counseling, LLC located?
- Persimmon Tree Counseling, LLC's practice location on file with NPPES is 207 W Jefferson St Ste 401, Bloomington, IL 61701-3969.
- What is Persimmon Tree Counseling, LLC's phone number?
- The practice phone number listed in the NPPES registry for Persimmon Tree Counseling, LLC is (309) 431-1296.
- Who is the authorized official for Persimmon Tree Counseling, LLC?
- The authorized official listed on Persimmon Tree Counseling, LLC's NPPES record is Matthew Hickman, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Persimmon Tree Counseling, LLC's NPI active?
- Yes — Persimmon Tree Counseling, LLC's NPI (1710610613) is active in the NPPES registry as of the last update on 2022-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.