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

Jacob Holthoff

Individual provider Professional Counselor · NPI 1063150175

Jacob Holthoff is a Professional Counselor in Champaign, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385
Phone: (217) 722-9079
Fax: (217) 501-4322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1612 Patton Dr, Mahomet, IL 61853-8157 — (217) 590-4178

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 178018951 (IL)

Record details

NPI number1063150175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 27, 2022
Last updated in NPPESJanuary 18, 2025
Certification dateJanuary 18, 2025
Mailing address201 W Springfield Ave Ste 1201, Champaign, IL 61820-6385

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