Rewired Therapy PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REWIRED THERAPY PLLC

Practice address

3420 Lacrosse LN Ste 107
Naperville, IL 60564-8279

Phone

(630) 447-0238

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Shawn Wunderlich, PHD, LCPCNPI 1104548866

Title

Owner

Phone

(309) 714-9589

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Shawn Wunderlich, PHD, LCPC

  • Professional Counselor
  • Naperville, IL
  • NPI 1104548866
  NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1275393993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 FOXCROFT RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 LACROSSE LN STE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648279",
            "telephone_number": "630-447-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRED THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "WUNDERLICH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-714-9589",
        "authorized_official_credential": "PHD, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.