Active NPI
Mindfully You Therapy PLLC
- Clinical Social Worker
- Grayslake, IL
National Provider Identifier
1124892021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDFULLY YOU THERAPY PLLC
- Practice address
- 10 N Lake St Ste 109
Grayslake, IL 60030-3636 - Phone
- (224) 829-0878
- NPI assigned
- Nov 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Catherine Mae Navarro, LCSW
- Title
- Licensed Clinical Social Worker
- Phone
- (224) 730-4594
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
10 N Lake St Ste 109
Grayslake, IL 60030-3636
Mailing address
33405 N Lone Rock Rd
Grayslake, IL 60030-1926
Phone (224) 730-4594
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lake Forest, IL
- NPI 1750026886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1124892021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33405 N LONE ROCK RD",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600301926",
"telephone_number": "224-730-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 N LAKE ST STE 109",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600303636",
"telephone_number": "224-829-0878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFULLY YOU THERAPY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-10",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "NAVARRO",
"authorized_official_first_name": "MARY CATHERINE",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "224-730-4594",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.