MEDICARE: THOUGHT GOBLIN COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346112208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOUGHT GOBLIN COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	2204 STRAND DR
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61822-3514
Country	:	US
Telephone Number	:	321-506-7644
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 STRAND DR
Second Line	:
City	:	CHAMPAIGN
State	:	IL
Zip	:	61822-3514
Country	:	US
Telephone Number	:	321-506-7644
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MARTIN J MERCERET
Credential	:
Telephone Number	:	321-506-7644

Provider Enumeration Date	:	09/20/2025
Last Update Date	:	02/10/2026

Similar Medicare Providers

1225989965 — KORTNEY WILCHER
Practice Location Address:

2919 CROSSING CT STE 2
CHAMPAIGN, IL
61822-5904

Practice Phone: 844-764-2726
Practice Fax:

1508396953 — DR. MOHAMMED USMAN QASIM MD
Practice Location Address:

1801 W WINDSOR RD
CHAMPAIGN, IL
61822-6217

Practice Phone: 217-366-6104
Practice Fax: 217-366-8032

1124559299 — MS. ERICA LYNNE LAMPO CNP
Practice Location Address:

1701 CURTIS RD
CHAMPAIGN, IL
61822-9678

Practice Phone: 217-365-6203
Practice Fax:

1043161359 — RIA SUMITRO
Practice Location Address:

3210 COUNTRYBEND LN
CHAMPAIGN, IL
61822-6154

Practice Phone: 217-417-7518
Practice Fax:

1316942592 — DR. ANDREW TUNSTALL DC
Practice Location Address:

3113 VILLAGE OFFICE PL
CHAMPAIGN, IL
61822-7673

Practice Phone: 217-398-5999
Practice Fax: 217-398-4031

1750386215 — NATHAN A CROUCH O.D.
Practice Location Address:

3101 FIELDS SOUTH DR
CHAMPAIGN, IL
61822-3743

Practice Phone: 217-366-1250
Practice Fax:

Directions to “THOUGHT GOBLIN COUNSELING, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.