MICHELLE MATZKE THERAPY PLLC NPI 1699632976

NPI Information

  • NPI: 1699632976
  • Provider Name: MICHELLE MATZKE THERAPY, PLLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6035 N KNOXVILLE AVE STE 203D
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 204-6547

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NPI Details

MICHELLE MATZKE THERAPY, PLLC is a mental health counselor in Peoria, IL. MICHELLE MATZKE THERAPY, PLLC NPI is 1699632976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6035 N KNOXVILLE AVE STE 203D
PEORIA, IL
ZIP 61614-505
Phone: (309) 204-6547

The provider's authorized official is Michelle Matzke .
The authorized official title is Therapist/owner and has the following contact phone number (309) 397-1233.

The enumeration date for this NPI number is 1/7/2026 and was last updated on 1/7/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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