The Zen Therapy Room LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE ZEN THERAPY ROOM LLC

Practice address

171 Santa Fe LN
Willow Springs, IL 60480-1624

Phone

(630) 334-7858

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Catherine Watkins

Title

Owner

Phone

(630) 601-8660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Catherine M Klima, LCSW

  • Clinical Social Worker
  • Willow Springs, IL
  • NPI 1073564332
  Medicare reassignment NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1609522887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SANTA FE LN",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801624",
            "telephone_number": "630-601-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SANTA FE LN",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801624",
            "telephone_number": "630-334-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ZEN THERAPY ROOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-601-8660",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyah Subei
• Jennifer Lynn Suggitt, OTR/L, CLT
• Alexandra Sulik, NP
• Kendell Ann Sullivan, CRNA
• Daniel Y. Tam, RPH
• Village of Willow Springs
• Willow Springs SCH Dist 108
• Willow Therapeutic
• Willow Therapeutic, PLLC
• Stephen M Wright, MA, LCPC

• Clinical Social Worker in Willow Springs, IL
• Providers in Willow Springs, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.