Active NPI
This Is the Life for Me Wellness Collective PLLC
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1194532879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- THIS IS THE LIFE FOR ME WELLNESS COLLECTIVE PLLC
- Practice address
- 205 N Michigan Ave Ste 810
Chicago, IL 60601-5902 - Phone
- (773) 593-0920
- NPI assigned
- Dec 16, 2024
- 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
- Jasmine Ouedraogo, LCSW
- Title
- Ceo
- Phone
- (773) 593-0920
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
205 N Michigan Ave Ste 810
Chicago, IL 60601-5902
Mailing address
205 N Michigan Ave Ste 810
Chicago, IL 60601-5902
Phone (773) 593-0920
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
- Chicago, IL
- NPI 1902521701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1194532879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N MICHIGAN AVE STE 810",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606015902",
"telephone_number": "773-593-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N MICHIGAN AVE STE 810",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606015902",
"telephone_number": "773-593-0920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THIS IS THE LIFE FOR ME WELLNESS COLLECTIVE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-16",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "OUEDRAOGO",
"authorized_official_first_name": "JASMINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-593-0920",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.