Organization Active NPI

Reflective Mind PLLC

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1598469959
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REFLECTIVE MIND PLLC
Doing business as
Reflective Mind Counseling
Practice address
1604 Chicago Ave Ste 8
Evanston, IL 60201-6017
Phone
(312) 298-9355
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Mr. Brian Macwilliams, LCSWNPI 1366992216
Title
President
Phone
(312) 298-9355

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1604 Chicago Ave Ste 8
Evanston, IL 60201-6017

Mailing address

6446 N Sheridan Rd # 511
Chicago, IL 60626-5336

Other names 1

  • Reflective Mind Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

6446 N Sheridan Rd
Chicago, IL 60626

1604 Chicago Ave
Ste 8
Evanston, IL 60201
Phone (312) 298-9355

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1598469959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6446 N SHERIDAN RD # 511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606265336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 CHICAGO AVE STE 8",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016017",
            "telephone_number": "312-298-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIVE MIND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MACWILLIAMS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-298-9355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflective Mind Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reflective Mind Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.