Complete Care Behavioral Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COMPLETE CARE BEHAVIORAL HEALTH PLLC

Practice address

440 W Boughton Rd
Bolingbrook, IL 60440-1892

Phone

(630) 405-7820

Fax

(630) 405-7821

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Senami Olubunmi Edalere-LukulaNPI 1942999784

Title

Owner

Phone

(773) 983-7028

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Senami Olubunmi Edalere Lukula

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolingbrook, IL
  • NPI 1942999784
  Medicare reassignment NPD Authorized official
• Tiffani Gans, PSYCHIATRIC MENTAL H

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolingbrook, IL
  • NPI 1730031121
  Medicare reassignment
• Jade Enriquez

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago Ridge, IL
  • NPI 1891674131
  NPD

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1396526737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401892",
            "telephone_number": "630-405-7820",
            "fax_number": "630-405-7821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "EDALERE-LUKULA",
        "authorized_official_first_name": "SENAMI",
        "authorized_official_middle_name": "OLUBUNMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-983-7028"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.