Organization Active NPI

Heal Counseling and Wellness LTD.

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1407634504
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HEAL COUNSELING AND WELLNESS LTD.
Practice address
6517 W Highland Ave
Chicago, IL 60631-2043
Phone
(708) 829-8743
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Robert Foreman
Title
Credentialing
Phone
(630) 313-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

6517 W Highland Ave
Chicago, IL 60631-2043

Mailing address

1509 Waukegan Rd Ste 1139
Glenview, IL 60025-2122
Phone (708) 829-8743

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": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1407634504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 WAUKEGAN RD STE 1139",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252122",
            "telephone_number": "708-829-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6517 W HIGHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606312043",
            "telephone_number": "708-829-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL COUNSELING AND WELLNESS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "630-313-0069"
    },
    "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 Chicago, IL

Sources for this page

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