Barbara Wynn Coughlin, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149019158 Issued in IL

Practice address

1010 Lake St
Ste 603a
Oak Park, IL 60301-1136

Phone

(224) 532-6814

Fax

(312) 578-9004

NPI assigned

Mar 18, 2017

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowered Wellness

  • Clinical Social Worker
  • Oak Park, IL
  • NPI 1912471962
  NPD Authorized official

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

{
    "created_epoch": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1134660566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WASHINGTON BLVD",
            "address_2": "APT 3B",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024123",
            "telephone_number": "224-532-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE ST",
            "address_2": "STE 603A",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011136",
            "telephone_number": "224-532-6814",
            "fax_number": "312-578-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Timberline Dr",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "IL",
            "postal_code": "604393848",
            "country_code": "US",
            "telephone_number": "224-532-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUGHLIN",
        "first_name": "BARBARA",
        "middle_name": "WYNN",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-18",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "32989",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149019158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanel Mulan Cosey
• Jennifer Costello, LCSW, RD
• Sarah Katherine Costianis, DC
• Daniel Lawrence Cotter, MD
• Donna Lee Cotton, PSY.D., LCPC
• Nicole Anne Coughlin, DPT
• Counseling at Shill Partners
• Countyenterprise LLC
• Courtney Bledsoe LCSW PLLC
• Kenneth Joseph Cozzi, LMFT

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, 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 Dec 4, 2020; 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.