NPIMap

Organization Active NPI

Karuna Wellness LLC

  • Clinical Social Worker
  • Willow Springs, IL
National Provider Identifier
1659961654
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KARUNA WELLNESS LLC
Practice address
8695 Archer Ave Ste 21
Willow Springs, IL 60480-1283
Phone
(708) 381-0897
Fax
(708) 575-1725
NPI assigned
Jan 22, 2021
Last updated
Jan 24, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Authorized official

Name
Caitlin Freeman, MA, LCSWNPI 1770848574
Title
Owner/LCSW
Phone
(419) 343-3374

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

8695 Archer Ave Ste 21
Willow Springs, IL 60480-1283

Mailing address

2027 N Humboldt Blvd Apt 1
Chicago, IL 60647-3851
Phone (419) 343-3374

National Provider Directory

National Provider Directory

Locations

8695 Archer Ave
Ste 12
Willow Springs, IL 60480
Phone (708) 381-0897

Practitioners & affiliated clinicians

Practitioners 8

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": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1659961654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 N HUMBOLDT BLVD APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473851",
            "telephone_number": "419-343-3374",
            "fax_number": "708-575-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 ARCHER AVE STE 21",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801283",
            "telephone_number": "708-381-0897",
            "fax_number": "708-575-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARUNA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "419-343-3374",
        "authorized_official_credential": "MA, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.