Conscious Reset Therapy and Wellness, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONSCIOUS RESET THERAPY AND WELLNESS, PLLC

Practice address

4334 N Clarendon Ave Apt 302
Chicago, IL 60613-1563

Phone

(703) 405-5631

NPI assigned

Oct 31, 2025

Last updated

Oct 31, 2025By 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

Mr. Vincent Henneburg, LCSWNPI 1245744754

Title

Owner

Phone

(703) 405-5631

Specialties & licenses 1

Addresses

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.

• Vincent James Henneburg

  • Social Worker
  • Oak Park, IL
  • NPI 1245744754
  NPD Authorized official

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1609745470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 N CLARENDON AVE APT 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131563",
            "telephone_number": "703-405-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 N CLARENDON AVE APT 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131563",
            "telephone_number": "703-405-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS RESET THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "HENNEBURG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-405-5631",
        "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": []
}

• Kara Elizabeth Conroy, APRN
• Molly Conroy
• Mykala Ann Conroy, DO
• Tiffany Anne Conroy, LCSW
• Mauricio A Consalter, M.D.
• Conscious Science PLLC (Ciencia Consciente PLLC)
• Conscious Therapy Connections, PLLC
• Marisol Consignado, PHARMD
• Consilia Behavioral Health, PLLC
• Dustin Corey Consol

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Oct 31, 2025; 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.