Organization Active NPI

Rebecca Ciesla, LLC

  • Adult Mental Health Clinic/Center
  • Crystal Lake, IL
National Provider Identifier
1073316261
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
REBECCA CIESLA, LLC
Practice address
600 Dakota St Ste B-101
Crystal Lake, IL 60012-3742
Phone
(815) 446-1960
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Rebecca Ciesla, LCSWNPI 1396838843
Title
Owner/Therapist
Phone
(509) 954-8815

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

600 Dakota St Ste B-101
Crystal Lake, IL 60012-3742

Mailing address

2149 Greenview Dr
Woodstock, IL 60098-7016

Other names 1

  • Healing Through EMDR Doing business as

National Provider Directory

National Provider Directory

Locations

600 Dakota St
Ste B101
Crystal Lake, IL 60012
Phone (815) 446-1960

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1073316261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 GREENVIEW DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAKOTA ST STE B-101",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123742",
            "telephone_number": "815-446-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA CIESLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "CIESLA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "509-954-8815",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Through EMDR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.