Active NPI
Healing for Your Soul Therapeutic Services LLC
- Professional Counselor
- Tinley Park, IL
National Provider Identifier
1134082902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- HEALING FOR YOUR SOUL THERAPEUTIC SERVICES LLC
- Practice address
- 16649 Oak Park Ave Ste H
Tinley Park, IL 60477-1843 - Phone
- (708) 249-7301
- Fax
- (708) 249-7302
- NPI assigned
- Dec 8, 2025
- Organization subpart
- No
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260107004012 | IL | Part B Supplier - Clinic/Group Practice | 3476039694 |
Receives reassigned benefits from 2 practitioners Practice locations: Tinley Park, IL |
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latasha Nicole Lyons
- Title
- Owner
- Phone
- (332) 330-3903
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
16649 Oak Park Ave Ste H
Tinley Park, IL 60477-1843
Mailing address
16649 Oak Park Ave Ste H
Tinley Park, IL 60477-1843
Phone (708) 249-7301
NPI Registry JSON
{
"created_epoch": "1765152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1134082902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16649 OAK PARK AVE STE H",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771843",
"telephone_number": "708-249-7301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16649 OAK PARK AVE STE H",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771843",
"telephone_number": "708-249-7301",
"fax_number": "708-249-7302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING FOR YOUR SOUL THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-08",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "LYONS",
"authorized_official_first_name": "LATASHA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "332-330-3903"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.