Soulstice Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOULSTICE COUNSELING LLC

Practice address

2167 Rebecca Cir
Montgomery, IL 60538-5008

Phone

(630) 803-4847

Fax

(630) 803-4847

NPI assigned

Jul 21, 2025

Organization subpart

No

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

Authorized official

Name

Jaclyn HarweyNPI 1528333226

Title

Owner

Phone

(630) 803-4847

Specialties & licenses 1

Addresses

Other names 1

• Soulstice Counseling LLC Doing business as

Practitioners 1

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

• Jaclyn C Harwey

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1528333226
  NPD Authorized official

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1063304210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2167 REBECCA CIR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605385008",
            "telephone_number": "630-803-4847",
            "fax_number": "630-803-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2167 REBECCA CIR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605385008",
            "telephone_number": "630-803-4847",
            "fax_number": "630-803-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULSTICE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "HARWEY",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-803-4847"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulstice Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kulsoom Shah
• Marcus Shamblin
• Lauryn Kelly Sherry
• Donna Slas, RPH
• Rhena Anne Smith, LMT
• South Park Fire Protection District
• Shawna Grace Stadtherr
• Starsurgical
• Cameron Blake Stevens, DDS
• Melanese Stitts

• Clinical Social Worker in Montgomery, IL
• Providers in Montgomery, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.