Wellness Center for Counseling and Guidance

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WELLNESS CENTER FOR COUNSELING AND GUIDANCE

Practice address

4449 S Lake Park Ave Unit 2S
Chicago, IL 60653-4189

Phone

(312) 525-1031

NPI assigned

Apr 5, 2023

Last updated

May 21, 2024By 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

Heshima Mance, LCPCNPI 1184331845

Title

Owner

Phone

(312) 525-1031

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, and the practitioner matching its NPPES authorized official.

• Heshima Mance, LCPC

  • Counselor
  • Chicago, IL
  • NPI 1184331845
  NPD Authorized official

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1528753605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18125 ROY ST UNIT 20",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604386601",
            "telephone_number": "708-915-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 S LAKE PARK AVE UNIT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606534189",
            "telephone_number": "312-525-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER FOR COUNSELING AND GUIDANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MANCE",
        "authorized_official_first_name": "HESHIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-525-1031",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.