Organization Active NPI

The Well Counseling Practice, PLLC

  • Professional Counselor
  • Long Grove, IL
National Provider Identifier
1548092794
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE WELL COUNSELING PRACTICE, PLLC
Practice address
2231 Shiloh Drive
Long Grove, IL 60047
Phone
(309) 200-7693
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Brittany Spear, LCPCNPI 1760974737
Title
Owner/LCPC
Phone
(309) 200-7693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2231 Shiloh Drive
Long Grove, IL 60047

Mailing address

1600 N Milwaukee Ave Ste 1097
Vernon Hills, IL 60061-1574

Other identifiers 1

IdentifierTypeStateIssuer
1760974737OtherILNATIONAL PLAN & PROVIDER ENUMERATION SYSTEM

National Provider Directory

National Provider Directory

Locations

150 E Cook Ave
Ste 101
Libertyville, IL 60048
Phone (847) 370-2785

1600 N Milwaukee Ave
Vernon Hills, IL 60061
Phone (847) 902-8436

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1548092794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MILWAUKEE AVE STE 1097",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 SHILOH DRIVE",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "309-200-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELL COUNSELING PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "SPEAR",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/LCPC",
        "authorized_official_telephone_number": "309-200-7693",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM",
            "identifier": "1760974737",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.