Michelle Gloria Wong

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.019984 Issued in IL

Practice address

715 Lake St Ste 806
Oak Park, IL 60301-1417

Phone

(773) 312-3612

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Innovative Counseling Partners LLC

  • Adult Mental Health Clinic/Center
  • Oak Park, IL
  • NPI 1437563798
  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1487382339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GEORGE ST APT 512",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601063181",
            "telephone_number": "224-817-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 806",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011417",
            "telephone_number": "773-312-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "MICHELLE",
        "middle_name": "GLORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.019984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Wollensak, D.O.
• Seth Drummond Wollwage, L.C.S.W.
• Brad Scott Wolter, PT
• Michele M Wolter, OTRL
• Ka Ngan Wong, OTR/L
• Sabina Nicole Wong, MD
• Wood Counseling Center, PLLC
• Amy Flanagan Wood, LMFT
• Woodbine Nursing Home LLC (The Woodbine)
• Martrice Woodfork

• Mental Health Counselor in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.