Active NPI 1063150175 Individual Practitioner Male Practitioner

Jacob Holthoff

Counselor - Professional • Champaign, IL

Professional Overview & Biography Verified Profile Summary

Jacob Holthoff is a registered healthcare professional specializing in Counselor - Professional in Champaign, IL. Practice services are available at 201 W SPRINGFIELD AVE STE 1201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 W Springfield Ave Ste 1201

Champaign, IL 618206385

Telephone 2177229079

Fax 2175014322

Associated Practice Facility / Clinic

🏢 Mcnicholl Counseling, P.c. Facility NPI 1669774535

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Champaign, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.8 Yrs

State Avg: 17.0 Yrs

Regional Practice Density

143 Specialists

Practicing in Champaign, IL (9683 Statewide)

Telehealth Adoption Rate

4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-18

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 178018951

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1063150175 (IL)

Secondary Practice Locations

1612 Patton Dr

Mahomet, IL 618538157

Phone: 2175904178

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners

Jotham Tiarks , LCPC

Counselor - Professional

NPI 1043614803

Licensed Clinical Professional Counselor

Robert Mcnicholl , MSW, LCSW

Social Worker - Clinical

NPI 1093948440

Master of Social Work, Licensed Clinical Social Worker

Lauren Duggins

Social Worker

NPI 1144968256

Grace Lockett

Social Worker

NPI 1194501775

Brandie Ciota , LSW

Social Worker - Clinical

NPI 1265182760

Licensed Social Worker

Erin Galen , LSW

Social Worker

NPI 1275013815

Licensed Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2025

Counselor (License #178018951 in IL)

✅

NPI Profile Active May 27, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location May 27, 2022

Registered at 201 W SPRINGFIELD AVE STE 1201, CHAMPAIGN, IL 618206385 (Tel: 2177229079)

📍

Updated Business Mailing Address May 27, 2022

Registered at 201 W SPRINGFIELD AVE STE 1201, CHAMPAIGN, IL 618206385 (Tel: 2177229079)

👤

Provider Name / Credentials Updated May 27, 2022

Recorded as JACOB HOLTHOFF

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2022

Counselor

🟢

Initial NPI Registration & Enumeration May 27, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Jacob Holthoff. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1063150175

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 27, 2022

Last Update: January 18, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

201 W Springfield Ave Ste 1201

Champaign, IL 618206385

Phone: 2177229079

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.