Colleen Koncilja, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008267 Issued in IL

Practice address

850 W Bartlett Rd Ste 14C
Bartlett, IL 60103-4454

Phone

(630) 864-7267

Fax

(630) 596-0743

NPI assigned

Mar 4, 2010

Last updated

Jan 19, 2020By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Health and Healing Therapy LLC

  • Clinical Social Worker
  • Bartlett, IL
  • NPI 1437621422
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1194048132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W BARTLETT RD STE 14C",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034454",
            "telephone_number": "603-864-7267",
            "fax_number": "630-596-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W BARTLETT RD STE 14C",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034454",
            "telephone_number": "630-864-7267",
            "fax_number": "630-596-0743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W Bartlett Rd Ste 14C",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "IL",
            "postal_code": "601034454",
            "country_code": "US",
            "telephone_number": "630-864-7267 x7",
            "fax_number": "630-596-0743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONCILJA",
        "first_name": "COLLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mason Joseph Klaas, DC
• Francesca Jeanne Knedlhans, OTR L
• Erin Elizabeth Kobiljak, PA-C
• Ellen R Kochman-Simon, M.D.
• Morgan Kolecke, LCPC
• Robin Kulesza, MA, LCPC
• Reshma Joshi Lagomarcino, L.C.P.C.
• Samuel Solomon Lake, M.D.
• Joseph Lange
• Lauren a Weitz DDS in

• Clinical Social Worker in Bartlett, IL
• Providers in Bartlett, 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 Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.