Organization Active NPI

Wellness Path Counseling Services LLC

  • Counseling Psychologist
  • Berwyn, IL
National Provider Identifier
1407634819
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
WELLNESS PATH COUNSELING SERVICES LLC
Practice address
3245 Grove Ave Ste 208
Berwyn, IL 60402-3476
Phone
(847) 220-7286
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Deisy Rodriguez, LCPCNPI 1992353510
Title
Owner
Phone
(847) 220-7286

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
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

3245 Grove Ave Ste 208
Berwyn, IL 60402-3476

Mailing address

PO Box 1302
Barrington, IL 60011-1302
Phone (847) 220-7286

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": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1407634819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1302",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600111302",
            "telephone_number": "847-220-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 GROVE AVE STE 208",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023476",
            "telephone_number": "847-220-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS PATH COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DEISY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-220-7286",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.