The Mending Room Counseling Center for Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE MENDING ROOM COUNSELING CENTER FOR WELLNESS

Practice address

16649 Oak Park Ave
Tinley Park, IL 60477-1842

Phone

(954) 887-9807

Fax

(754) 732-7441

NPI assigned

Jul 28, 2022

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Oladumiye, LCSWNPI 1013649458

Title

Owner/Clinical Director

Phone

(954) 787-8702

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Jessica Oladumiye, LCSW

  • Clinical Social Worker
  • Lauderhill, FL
  • NPI 1013649458

  IL

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1437885720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16649 OAK PARK AVE STE H",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771843",
            "telephone_number": "954-887-9807",
            "fax_number": "754-732-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16649 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771842",
            "telephone_number": "954-887-9807",
            "fax_number": "754-732-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENDING ROOM COUNSELING CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "OLADUMIYE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "954-787-8702",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.yourmendingroom.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16649 Oak Park Ave",
            "city": "Tinley Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604771842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.