NPIMap

Organization Active NPI

Resilient Minds Counseling PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1053191668
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESILIENT MINDS COUNSELING PLLC
Practice address
111 N Wabash Ave, Suite 100, #3946
Chicago, IL 60602-5626
Phone
(708) 573-1920
Fax
(312) 264-2506
NPI assigned
Oct 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Mallory Mareski, LCSW, MSWNPI 1154916815
Title
Owner, Psychotherapist
Phone
(708) 573-1920

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

111 N Wabash Ave, Suite 100, #3946
Chicago, IL 60602-5626

Mailing address

111 N Wabash Ave, Suite 100, #3946
Chicago, IL 60602-5626
Phone (708) 573-1920

Other identifiers 1

IdentifierTypeStateIssuer
1154916815OtherNPI

Other names 1

  • Resilient Minds Counseling LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1053191668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE, SUITE 100, #3946",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606025626",
            "telephone_number": "708-573-1920",
            "fax_number": "312-264-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE, SUITE 100, #3946",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606025626",
            "telephone_number": "708-573-1920",
            "fax_number": "312-264-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MINDS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "MARESKI",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "708-573-1920",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154916815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Minds Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Resilient Minds Counseling LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.