Citrine and Indigo Counseling and Wellness PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CITRINE AND INDIGO COUNSELING AND WELLNESS PLLC

Practice address

800 E. Roosevelt Road
Ste. E-220
Glen Ellyn, IL 60137

Phone

(708) 480-2637

NPI assigned

Jul 4, 2023

Organization subpart

No

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

Authorized official

Name

Gillian Taylor, LCPC, ATR, PMH-CNPI 1891113940

Title

Owner

Phone

(708) 480-2637

Specialties & licenses 6

Addresses

Practitioners 1

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

• Gillian Declark Taylor, MA, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1891113940
  NPD Authorized official

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1528745239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E. ROOSEVELT ROAD",
            "address_2": "STE. E-220",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "708-480-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E. ROOSEVELT ROAD",
            "address_2": "STE. E-220",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "60137",
            "telephone_number": "708-480-2637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRINE AND INDIGO COUNSELING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-480-2637",
        "authorized_official_credential": "LCPC, ATR, PMH-C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Rose Christopher, OTD, OTR/L
• Susan Y. Christopherson, AU.D.
• Dianna Christina Ciardullo, RPH
• Lisa Ciosek, OT
• Elizabeth Cipriano, MS, LCPC, NCC
• John William Clancy, DDS
• Concetta M Clark, M.A.
• Elli Banes Clark, LPC
• Kenneth John Clark
• Jaclynn R Clasen, MD

• Professional Counselor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.