NPIMap

Organization Active NPI

Wellness Couch Therapeutic Spa & Treatment Center

Doing business as Wellness On The Couch

  • Mental Health Counselor
  • Flossmoor, IL
National Provider Identifier
1356056584
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WELLNESS COUCH THERAPEUTIC SPA & TREATMENT CENTER
Doing business as
Wellness On The Couch
Practice address
2946 Carmel Drive
Flossmoor, IL 60422
Phone
(708) 953-9355
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Mrs. Rachel Diane Harden-Maddox, LCPC, CADCNPI 1457967887
Title
Executive Director/Counselor
Phone
(708) 953-9355

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2946 Carmel Drive
Flossmoor, IL 60422

Mailing address

20015 S Lagrange Rd Ste 1269
Frankfort, IL 60423-3104
Phone (708) 953-9355

Other names 1

  • Wellness On The Couch Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1356056584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20015 S LAGRANGE RD STE 1269",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233104",
            "telephone_number": "708-953-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 CARMEL DRIVE",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "60422",
            "telephone_number": "708-953-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COUCH THERAPEUTIC SPA & TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "HARDEN-MADDOX",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "708-953-9355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness On The Couch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness On The Couch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flossmoor, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.