NPIMap

Organization Active NPI

Prospering Minds Counseling

  • Mental Health Counselor
  • Palatine, IL
National Provider Identifier
1114641313
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROSPERING MINDS COUNSELING
Practice address
1 E Northwest Hwy Ste 212
Palatine, IL 60067-1700
Phone
(815) 236-5503
NPI assigned
Sep 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Carly Wolfram, LCPC, MANPI 1114492303
Title
Practice Owner/Counselor
Phone
(815) 236-5503

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1 E Northwest Hwy Ste 212
Palatine, IL 60067-1700

Mailing address

1403 Tall Oaks Dr
Carol Stream, IL 60188-4204
Phone (815) 236-5503

Other identifiers 1

IdentifierTypeStateIssuer
1114492303OtherILINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carly@prosperingmc.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1114641313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 TALL OAKS DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884204",
            "telephone_number": "815-236-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E NORTHWEST HWY STE 212",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600671700",
            "telephone_number": "815-236-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERING MINDS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "WOLFRAM",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "PRACTICE OWNER/COUNSELOR",
        "authorized_official_telephone_number": "815-236-5503",
        "authorized_official_credential": "LCPC, MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114492303",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carly@prosperingmc.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1 E Northwest Hwy Ste 212",
            "city": "Palatine",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600671700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.