Serengeti Wellness PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SERENGETI WELLNESS PLLC

Practice address

1130 S Canal St # 1700
Chicago, IL 60607-4907

Phone

(312) 870-0010

NPI assigned

Nov 30, 2022

Organization subpart

No

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

Authorized official

Name

Carla Da CunhaNPI 1376183517

Title

Founder

Phone

(312) 870-0010

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.

• Carla Da Cunha

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1376183517
  NPD Authorized official

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1356051353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 S CANAL ST # 1700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074907",
            "telephone_number": "312-870-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S CANAL ST # 1700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074907",
            "telephone_number": "312-870-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENGETI WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "DA CUNHA",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "312-870-0010"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.