Organization Active NPI

The Soma Collective

  • Counselor
  • Villa Park, IL
National Provider Identifier
1609763770
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THE SOMA COLLECTIVE
Practice address
119 N 3Rd Ave
Villa Park, IL 60181-2320
Phone
(847) 226-6179
Fax
(847) 226-6179
NPI assigned
Jun 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Shannon April Daidone, LCPCNPI 1326644857
Title
Founder/Therapist
Phone
(847) 226-6179

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
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

119 N 3Rd Ave
Villa Park, IL 60181-2320

Mailing address

543 S Michigan Ave
Villa Park, IL 60181-2816
Phone (847) 226-6179

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.

NPI Registry JSON

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

{
    "created_epoch": "1750464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1609763770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 S MICHIGAN AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812816",
            "telephone_number": "847-226-6179",
            "fax_number": "847-226-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N 3RD AVE",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601812320",
            "telephone_number": "847-226-6179",
            "fax_number": "847-226-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOMA COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "DAIDONE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "APRIL",
        "authorized_official_title_or_position": "FOUNDER/THERAPIST",
        "authorized_official_telephone_number": "847-226-6179",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.