NPIMap

Organization Active NPI

Great Changes Counseling Services, P.C.

  • Clinical Social Worker
  • Mokena, IL
National Provider Identifier
1205137346
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149010490 Issued in IL
Legal business name
GREAT CHANGES COUNSELING SERVICES, P.C.
Practice address
9435 Bormet Dr Ste 5
Mokena, IL 60448-7401
Phone
(815) 260-2566
NPI assigned
Nov 5, 2010
Last updated
Apr 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Donna M Welter, LCSWNPI 1114030251
Title
Director
Phone
(815) 260-2566

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)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149010490 IL Primary

Addresses

Primary practice location

9435 Bormet Dr Ste 5
Mokena, IL 60448-7401

Mailing address

9435 Bormet Dr Ste 5
Mokena, IL 60448-7401
Phone (815) 260-2566

Other practice location 1

2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733
Phone (205) 563-3600

Other identifiers 1

IdentifierTypeStateIssuer
1114030251OtherILNPI INDIVIDUAL #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111214000693 IL Part B Supplier - Clinic/Group Practice 3375718604 Receives reassigned benefits from 12 practitioners
Practice locations: Mokena, IL
O20260511001985 AL Part B Supplier - Clinic/Group Practice 3375718604 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1205137346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 BORMET DR STE 5",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487401",
            "telephone_number": "815-260-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 BORMET DR STE 5",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604487401",
            "telephone_number": "815-260-2566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Corporate Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352422733",
            "country_code": "US",
            "telephone_number": "205-563-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREAT CHANGES COUNSELING SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "WELTER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-260-2566",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149010490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL #",
            "identifier": "1114030251",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.

Verify at the official NPI Registry.