Mosaic Mind Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MOSAIC MIND COUNSELING LLC

Practice address

728 Ogden Ave Ste E
Downers Grove, IL 60515-2964

Phone

(715) 617-6000

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Arlene Ross Langley, MSW LCSWNPI 1841389954

Title

Owner

Phone

(715) 617-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

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.

• Arlene Ross Langley, LCSW

  • Clinical Social Worker
  • Downers Grove, IL
  • NPI 1841389954
  Medicare reassignment NPD Authorized official
• Susanne Johnson, PHD

  • Clinical Psychologist
  • Downers Grove, IL
  • NPI 1144237488
  NPD (past)
• Jennifer Keely Logston, MSW, LCSW

  • Clinical Social Worker
  • Downers Grove, IL
  • NPI 1841304094
  NPD (past)

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1235781253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CUMNOR RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153135",
            "telephone_number": "715-617-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 OGDEN AVE STE E",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152964",
            "telephone_number": "715-617-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC MIND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-617-6000",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Moreira, PA-C
• Benjamin Luke Morgan, LCPC
• Ann Marie Morici, RN
• Mauro Moromi, LMT
• Stephanie Morton
• Patricia M. Moser, O.D.
• Kevin Thomas Moss, D.M.D.
• Amir Motarjeme, M.D.
• Jaclyn Moy
• Suzanne Mraz

• Clinical Social Worker in Downers Grove, IL
• Providers in Downers Grove, 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 Jul 10, 2019; 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.