Organization Active NPI

Per la Vita Wellness PLLC

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1225892748
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PER LA VITA WELLNESS PLLC
Practice address
3380 Lacrosse LN Ste 111
Naperville, IL 60564-8521
Phone
(630) 474-5119
NPI assigned
Feb 7, 2024
Last updated
Feb 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Dr. Kristen Brendel, PHD, LCSWNPI 1558469254
Title
Owner/Director
Phone
(630) 383-1102

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 NU Primary

Addresses

Primary practice location

3380 Lacrosse LN Ste 111
Naperville, IL 60564-8521

Mailing address

3380 Lacrosse LN Ste 111
Naperville, IL 60564-8521
Phone (630) 383-1102

National Provider Directory

National Provider Directory

Locations

3380 Lacrosse Ln
Ste 111
Naperville, IL 60564
Phone (630) 474-5119

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1225892748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648521",
            "telephone_number": "630-383-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648521",
            "telephone_number": "630-474-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PER LA VITA WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "BRENDEL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "630-383-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.