Active NPI
The Mentor Coach Foundation
- Health & Wellness Coach
- Wheaton, IL
National Provider Identifier
1275299638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Legal business name
- THE MENTOR COACH FOUNDATION
- Doing business as
- SOS Ministries
- Practice address
- 415 N. President St. #B
Wheaton, IL 60187 - Phone
- (630) 320-6830
- NPI assigned
- Nov 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prof. Gabriella Filippi
- Title
- Executive Director
- Phone
- (630) 320-6830
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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Poetry Therapist | 102X00000X | |||
| Behavior Analyst | 103K00000X | |||
| Assistant Behavior Analyst | 106E00000X | |||
| Health & Wellness Coach | 171400000X | Primary | ||
| Specialist | 174400000X | |||
| Health Educator | 174H00000X | |||
| Peer Specialist | 175T00000X | |||
| Art Therapist | 221700000X | |||
| Recreation Therapist | 225800000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Religious Nonmedical Practitioner | 374K00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Prevention Professional | 405300000X |
Addresses
Primary practice location
415 N. President St. #B
Wheaton, IL 60187
Mailing address
PO Box 313
Wheaton, IL 60187-0313
Phone (630) 320-6830
Other names 1
- SOS Ministries
National Provider Directory
National Provider DirectoryPractitioners & 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": "1636502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1636502400000",
"number": "1275299638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 313",
"city": "WHEATON",
"state": "IL",
"postal_code": "601870313",
"telephone_number": "630-320-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N. PRESIDENT ST. #B",
"city": "WHEATON",
"state": "IL",
"postal_code": "60187",
"telephone_number": "630-320-6830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MENTOR COACH FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A",
"authorized_official_last_name": "FILIPPI",
"authorized_official_first_name": "GABRIELLA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "630-320-6830",
"authorized_official_name_prefix": "Prof."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "372500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prevention Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SOS Ministries",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.