Community Wellness Group LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COMMUNITY WELLNESS GROUP LLC

Practice address

635 Argyle Ave
Flossmoor, IL 60422-1201

Phone

(773) 844-8813

NPI assigned

Oct 26, 2020

Last updated

May 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shirlyn Maria Garrett-Wilson, ED.D., LCPC

Title

Vice President of Clinical Services

Phone

(773) 320-9592

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirlyn Garrett

  • Professional Counselor
  • Country Club Hills, IL
  • NPI 1588174460
  NPD
• Evanee Neville, LCSW

  • Clinical Social Worker
  • Flossmoor, IL
  • NPI 1083124960
  NPD

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1144820648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 ARGYLE AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221201",
            "telephone_number": "773-844-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 ARGYLE AVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221201",
            "telephone_number": "773-844-8813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18631 Laramie Rd",
            "address_purpose": "LOCATION",
            "city": "Country Club Hills",
            "state": "IL",
            "postal_code": "604784412",
            "country_code": "US",
            "telephone_number": "773-320-9592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "GARRETT-WILSON",
        "authorized_official_first_name": "SHIRLYN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "773-320-9592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CLS Comprehensive Services, LLC
• Collabcore
• Melinda A Collins
• Sandra K. Collins, P.T.
• Sean Collins
• Mary Condon, RD, LDN
• Tiffinie Conner
• Ghana Marie Cooper, MSW, D.MIN
• Counseling Healing and Restoring the Inner Self to Mindful Authenticit
• Kimberly Coupet

• Mental Health Clinic/Center (Including Community Mental Health Center) in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.