Organization Active NPI

Link to Wellness

  • Mental Health Counselor
  • Burr Ridge, IL
National Provider Identifier
1679205439
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LINK TO WELLNESS
Practice address
11S270 S Jackson St Ste 101
Burr Ridge, IL 60527-6823
Phone
(618) 401-7140
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Robert Foreman
Title
Credentialing
Phone
(630) 313-0069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11S270 S Jackson St Ste 101
Burr Ridge, IL 60527-6823

Mailing address

9138 Sherman Ave
Brookfield, IL 60513-1547
Phone (618) 401-7140

National Provider Directory

National Provider Directory

Locations

11S270 S Jackson St
Ste 101
Burr Ridge, IL 60527
Phone (618) 401-7140

6362 S Cass Ave
Westmont, IL 60559

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": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1679205439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9138 SHERMAN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131547",
            "telephone_number": "618-401-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11S270 S JACKSON ST STE 101",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276823",
            "telephone_number": "618-401-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINK TO WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "630-313-0069"
    },
    "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 Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.