Organization Active NPI

Day Glow Wellness PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1235908070
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DAY GLOW WELLNESS PLLC
Practice address
954 W Washington Blvd Ste 510
Chicago, IL 60607-2237
Phone
(312) 898-6721
NPI assigned
Dec 21, 2023
Organization subpart
Yes
Parent organization
DAY GLOW WELLNESS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Tina Cooper, LCSWNPI 1952054785
Title
Clinical Director
Phone
(708) 299-2526

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

954 W Washington Blvd Ste 510
Chicago, IL 60607-2237

Mailing address

954 W Washington Blvd Ste 510
Chicago, IL 60607-2237
Phone (312) 898-6721

National Provider Directory

National Provider Directory
Part of
Day Glow Wellness LLC

Locations

954 W Washington Blvd
Ste 510
Chicago, IL 60607
Phone (312) 898-6721

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1235908070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 W WASHINGTON BLVD STE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072237",
            "telephone_number": "312-898-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W WASHINGTON BLVD STE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072237",
            "telephone_number": "312-898-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAY GLOW WELLNESS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAY GLOW WELLNESS LLC",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "708-299-2526",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 27, 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.