Colleen Llacsa

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149024509 Issued in IL

Practice address

608 S Washington St Ste 308
Naperville, IL 60540-6664

Phone

(312) 415-4894

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tyrrell Counseling and Consulting Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
  • NPI 1790586162
  NPD Authorized official

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1124404454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 VERMONT CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407117",
            "telephone_number": "312-415-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S WASHINGTON ST STE 308",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406664",
            "telephone_number": "312-415-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLACSA",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tao Liu
• Mark David Livak, MD
• Living Well Therapy Services, PLLC
• Diana V Liz, PHARMD
• LJ Senior Services Corporation
• Eden Ann Llewellyn, MMS PAC
• Joyce K Lo, M.D.
• Raulie Lo, MD
• Timothy Lo
• Jill Lobojko, LCSW

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, 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 Sep 22, 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.