Organization Active NPI

Revolution Counseling and Wellness LLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1295390094
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REVOLUTION COUNSELING AND WELLNESS LLC
Practice address
213 W Institute PL Ste 500
Chicago, IL 60610-8792
Phone
(872) 205-9035
NPI assigned
May 7, 2019
Last updated
Jan 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Daria Hoey, LCSWNPI 1518363670
Title
Owner
Phone
(773) 597-7834

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

213 W Institute PL Ste 500
Chicago, IL 60610-8792

Mailing address

9212 Bent Mountain Rd
Bent Mountain, VA 24059-2350
Phone (872) 205-9035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521000983 IL Part B Supplier - Clinic/Group Practice 4789103987 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

833 W Chicago Ave
Ste 510
Chicago, IL 60642

1402 Grandin Rd SW
Ste 202
Roanoke, VA 24015

Practitioners & affiliated clinicians

Practitioners 2

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": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1295390094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 BENT MOUNTAIN RD",
            "city": "BENT MOUNTAIN",
            "state": "VA",
            "postal_code": "240592350",
            "telephone_number": "872-205-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W INSTITUTE PL STE 500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108792",
            "telephone_number": "872-205-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "HOEY",
        "authorized_official_first_name": "DARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-597-7834",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 15, 2026; 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.