Wounded Healers Counseling Service LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WOUNDED HEALERS COUNSELING SERVICE LLC

Practice address

15724 S Route 59 Ste 106
Plainfield, IL 60544-2806

Phone

(630) 557-6057

NPI assigned

Jun 21, 2022

Organization subpart

No

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

Authorized official

Name

Maria T Hernandez

Title

Credential Specialist

Phone

(331) 300-5317

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1205567260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 MONTEREY DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605868475",
            "telephone_number": "630-723-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15724 S ROUTE 59 STE 106",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442806",
            "telephone_number": "630-557-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDED HEALERS COUNSELING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CREDENTIAL SPECIALIST",
        "authorized_official_telephone_number": "331-300-5317"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345923924001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole Worden, LMT
• Kimberly Wright
• William Everett Wright, D.C.
• Phoebe Wu, OTD, OTR/L
• Kathryn Wunsch
• Robert Wysocki, PSY.D.

• Community/Behavioral Health Agency in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.