Organization Active NPI

Darcy Rae Wexelbaum LCPC PC

Doing business as Mindful Ventures

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1295431427
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DARCY RAE WEXELBAUM LCPC PC
Doing business as
Mindful Ventures
Practice address
3380 Lacrosse LN Ste 116
Naperville, IL 60564-8520
Phone
(773) 914-1615
NPI assigned
Jan 31, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Mrs. Darcy R Wexelbaum, LCPCNPI 1194016766
Title
President
Phone
(773) 914-1615

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3380 Lacrosse LN Ste 116
Naperville, IL 60564-8520

Mailing address

1243 Thackery CT
Naperville, IL 60564-3175
Phone (773) 914-1615

Other practice location 1

1243 Thackery Ct
Naperville, IL 60564-3175
Phone (773) 914-1615

Other names 1

  • Mindful Ventures Doing business as

National Provider Directory

National Provider Directory

Locations

3380 Lacrosse Ln
Ste 116
Naperville, IL 60564
Phone (773) 914-1615

Practitioners & affiliated clinicians

Practitioners 1

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": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1295431427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 THACKERY CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643175",
            "telephone_number": "773-914-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 116",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648520",
            "telephone_number": "773-914-1615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1243 Thackery Ct",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605643175",
            "country_code": "US",
            "telephone_number": "773-914-1615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARCY RAE WEXELBAUM LCPC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "WEXELBAUM",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-914-1615",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Ventures",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.