NPIMap

Organization Active NPI

Wildflower Center for Emotional Health PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1114342599
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149014373 Issued in IL
Legal business name
WILDFLOWER CENTER FOR EMOTIONAL HEALTH PLLC
Practice address
820 N Orleans St Ste 350
Chicago, IL 60610-3145
Phone
(312) 809-0298
NPI assigned
Feb 21, 2014
Last updated
Feb 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Authorized official

Name
Christina Ann Ellis, LCSWNPI 1750638292
Title
Partner
Phone
(312) 809-0298

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
Clinical Social Worker 1041C0700X 149014373 IL Primary

Addresses

Primary practice location

820 N Orleans St Ste 350
Chicago, IL 60610-3145

Mailing address

820 N Orleans St Ste 350
Chicago, IL 60610-3145
Phone (312) 809-0298

National Provider Directory

National Provider Directory

Locations

1333 N Kingsbury St
Ste 303
Chicago, IL 60642
Phone (312) 809-0298

820 N Orleans St
Ste 206
Chicago, IL 60610
Phone (312) 809-0298

820 N Orleans St
Ste 350
Chicago, IL 60610
Phone (312) 809-0298

1010 Lake St
Ste 605
Oak Park, IL 60301
Phone (312) 309-0298

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1114342599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145",
            "telephone_number": "312-809-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N ORLEANS ST STE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103145",
            "telephone_number": "312-809-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER CENTER FOR EMOTIONAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-809-0298",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 9, 2022; 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.