Organization Active NPI

Interlude Healing Collective LLC

  • Clinical Social Worker
  • Homewood, IL
National Provider Identifier
1326858820
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTERLUDE HEALING COLLECTIVE LLC
Practice address
935 175TH St Ste 309
Homewood, IL 60430-2073
Phone
(708) 918-4839
Fax
(312) 284-1426
NPI assigned
Jan 8, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Miss Melyssa Scott, LCSWNPI 1588356323
Title
Ceo
Phone
(708) 979-3984

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

935 175TH St Ste 309
Homewood, IL 60430-2073

Mailing address

935 175TH St Ste 309
Homewood, IL 60430-2073
Phone (708) 918-4839

National Provider Directory

National Provider Directory

Locations

935 175th St
Ste 309
Homewood, IL 60430
Phone (708) 918-4839

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": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1326858820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 175TH ST STE 309",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302073",
            "telephone_number": "708-918-4839",
            "fax_number": "312-284-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 175TH ST STE 309",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302073",
            "telephone_number": "708-918-4839",
            "fax_number": "312-284-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLUDE HEALING COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MELYSSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-979-3984",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.