Organization Active NPI

Conscious Healing PLLC

  • Adult Mental Health Clinic/Center
  • Naperville, IL
National Provider Identifier
1003630948
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CONSCIOUS HEALING PLLC
Practice address
109 W Jefferson Ave
Naperville, IL 60540-5310
Phone
(630) 701-0315
NPI assigned
Nov 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Abbas, MA, LCPC, CCTPNPI 1588488423
Title
Founder
Phone
(630) 701-0315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

109 W Jefferson Ave
Naperville, IL 60540-5310

Mailing address

109 W Jefferson Ave
Naperville, IL 60540-5310

National Provider Directory

National Provider Directory

Locations

109 W Jefferson Ave
Naperville, IL 60540
Phone (630) 701-0315

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1003630948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W JEFFERSON AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W JEFFERSON AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405310",
            "telephone_number": "630-701-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS HEALING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "630-701-0315",
        "authorized_official_credential": "MA, LCPC, CCTP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.