Organization Active NPI

Gem Wellness Collective PLLC

  • Mental Health Counselor
  • Dolton, IL
National Provider Identifier
1578417671
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GEM WELLNESS COLLECTIVE PLLC
Practice address
14742 Michigan Ave
Dolton, IL 60419-1610
Phone
(708) 539-5840
NPI assigned
Feb 25, 2026
Last updated
Feb 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Lkenya Dalcour, LCPCNPI 1417476904
Title
Co-Owner
Phone
(708) 539-5840

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

14742 Michigan Ave
Dolton, IL 60419-1610

Mailing address

14742 Michigan Ave
Dolton, IL 60419-1610

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1578417671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14742 MICHIGAN AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14742 MICHIGAN AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191610",
            "telephone_number": "708-539-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM WELLNESS COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "DALCOUR",
        "authorized_official_first_name": "LKENYA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "708-539-5840",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.