NPIMap

Organization Active NPI

A Conscious Mind Theracoaching, PLLC

  • Mental Health Counselor
  • Orland Hills, IL
National Provider Identifier
1407545429
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
A CONSCIOUS MIND THERACOACHING, PLLC
Practice address
16950 89TH Ave
Orland Hills, IL 60487-7278
Phone
(708) 261-5728
NPI assigned
May 4, 2023
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Nabrina Lynn WoelkNPI 1306664065
Title
Life Coach
Phone
(402) 709-3185

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16950 89TH Ave
Orland Hills, IL 60487-7278

Mailing address

16950 89TH Ave
Orland Hills, IL 60487-7278
Phone (702) 826-5728

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, 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": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1407545429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16950 89TH AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604877278",
            "telephone_number": "702-826-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 89TH AVE",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604877278",
            "telephone_number": "708-261-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A CONSCIOUS MIND THERACOACHING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "WOELK",
        "authorized_official_first_name": "NABRINA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LIFE COACH",
        "authorized_official_telephone_number": "402-709-3185"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.