Fenix Wellness, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FENIX WELLNESS, PLLC

Practice address

3411 W Diversey Ave Ste 15
Chicago, IL 60647-1281

Phone

(847) 986-9558

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Stephanie Sajuan, LCSW, CADCNPI 1518478635

Title

Owner

Phone

(847) 986-9558

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stephanie Nicole Sajuan

  • Clinical Social Worker
  • Waukegan, IL
  • NPI 1518478635
  NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1457066003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8103",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600317010",
            "telephone_number": "847-986-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W DIVERSEY AVE STE 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606471281",
            "telephone_number": "847-986-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENIX WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "SAJUAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-986-9558",
        "authorized_official_credential": "LCSW, CADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Feng, DPM
• Siyuan Feng
• Winston Feng
• Xiaohua Feng
• Leslie Fenio, PA-C
• Michael Fenlon, M.D.
• Deborah Lynn Fenn, PSYD
• Jason G Fennema, D.C.
• Lariza Fenner-Lux
• Anna Fenner, MD

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

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