Active NPI
Peacefully Adjacent Therapy & Wellness PLLC
- Mental Health Counselor
- Olympia Fields, IL
National Provider Identifier
1639987258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PEACEFULLY ADJACENT THERAPY & WELLNESS PLLC
- Practice address
- 20303 S. Crawford Ave
Unit 210
Olympia Fields, IL 60461 - Phone
- (708) 549-9046
- NPI assigned
- Dec 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sieda J Hill, LCSW
- Title
- Owner/Manager
- Phone
- (773) 428-7466
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
20303 S. Crawford Ave
Unit 210
Olympia Fields, IL 60461
Mailing address
6811 167TH St RM 4
Tinley Park, IL 60477-2501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6811 167th St
Rm 4
Tinley Park, IL 60477
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": "1735344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735344000000",
"number": "1639987258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6811 167TH ST RM 4",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604772501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20303 S. CRAWFORD AVE",
"address_2": "UNIT 210",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "60461",
"telephone_number": "708-549-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEFULLY ADJACENT THERAPY & WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-28",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "SIEDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "773-428-7466",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.