Organization Active NPI

Bravely Healing Intuitively Living

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1619793007
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BRAVELY HEALING INTUITIVELY LIVING
Practice address
1361 Branchwood Cir Apt 202
Naperville, IL 60563-4107
Phone
(708) 600-7022
NPI assigned
Dec 2, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Threasa Jean Kluever, LCSWNPI 1437518024
Title
Owner and Therapist
Phone
(708) 600-7022

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 Worker 1041C0700X NU Primary

Addresses

Primary practice location

1361 Branchwood Cir Apt 202
Naperville, IL 60563-4107

Mailing address

1361 Branchwood Cir Apt 202
Naperville, IL 60563-4107
Phone (708) 600-7022

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": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1619793007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 BRANCHWOOD CIR APT 202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634107",
            "telephone_number": "708-600-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 BRANCHWOOD CIR APT 202",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634107",
            "telephone_number": "708-600-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVELY HEALING INTUITIVELY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "KLUEVER",
        "authorized_official_first_name": "THREASA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "708-600-7022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.