Mind Lodge

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIND LODGE

Practice address

24014 W Renwick Rd Ste 105-5
Plainfield, IL 60544-8708

Phone

(815) 200-1099

NPI assigned

Feb 8, 2024

Organization subpart

No

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

Authorized official

Name

Angela Olson, LCPCNPI 1689721193

Title

Owner and Clinical Therapist

Phone

(815) 200-1099

Specialties & licenses 4

Addresses

Locations

Practitioners 9

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

• Angela Olson, LCPC

  • Professional Counselor
  • Plainfield, IL
  • NPI 1689721193

  Mental Health

  NPD Authorized official
• Evon Charles

  • Social Worker
  • Plainfield, IL
  • NPI 1285491043
  NPD
• Kandice Nicole Richards-Lanza, LCSW

  • Clinical Social Worker
  • Elk Grove Village, IL
  • NPI 1750926804

  Mental Health

  NPD
• Desiree R Avitia, LCSW

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1376229799
  NPD (past)
• Nadia Durrani, LPC

  • Professional Counselor
  • Plainfield, IL
  • NPI 1992697833
  NPD (past)
• Payton Juarez, MSW

  • Social Worker
  • Plainfield, IL
  • NPI 1548090434
  NPD (past)
• Deborah Stearman Meeker, LCSW

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1932460565
  NPD (past)
• Brenna Russell, MSW, LSW

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1720764137
  NPD (past)
• Amy Strausberger, MA, LCPC, CRADC

  • Professional Counselor
  • Plainfield, IL
  • NPI 1649728478

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1639933732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13855 S PETERSBURG DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447078",
            "telephone_number": "815-200-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD STE 105-5",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448708",
            "telephone_number": "815-200-1099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13855 S Petersburg Dr",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605447078",
            "country_code": "US",
            "telephone_number": "815-517-8467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24014 W Renwick Rd Ste 100-12",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605448708",
            "country_code": "US",
            "telephone_number": "815-200-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24014 W Renwick Rd Unit 3",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605448708",
            "country_code": "US",
            "telephone_number": "815-200-1099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24014 W Renwick Rd",
            "address_2": "Ste 103",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "60544",
            "country_code": "US",
            "telephone_number": "815-200-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER AND CLINICAL THERAPIST",
        "authorized_official_telephone_number": "815-200-1099",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Sports Medicine Institute
• Rachel Z Mika, PT
• Kari Mild, M.C.D., CF-SLP
• Angela Kristine Miller, LCPC
• Andrea Mills
• Katherine Mirabelli
• Mirakins Behavioral Health PLLC
• Rachelle R Mirallegro
• Jamie Mirocha, LCSW
• Marc Edward Mitchell, LPC

• Mental Health Counselor in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.