Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Persimmon Tree Counseling, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1710610613

Persimmon Tree Counseling, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

207 W Jefferson St Ste 401
Bloomington, IL 61701-3969
Phone: (309) 431-1296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1710610613
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Hickman — Manager · (309) 431-1296
NPI enumeratedJuly 7, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address807 S Grove St, Normal, IL 61761-2840

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