The Wellness Couch

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE WELLNESS COUCH

Practice address

2946 Carmel Dr
Flossmoor, IL 60422-2284

Phone

(708) 953-9355

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Harden-Maddox, LCPCNPI 1457967887

Title

Ceo/Executive Director

Phone

(708) 953-9355

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rachel Diane Harden-Maddox, LCPC, CADC

  • Professional Counselor
  • Flossmoor, IL
  • NPI 1457967887

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1699532010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404620",
            "telephone_number": "708-953-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 CARMEL DR",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222284",
            "telephone_number": "708-953-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS COUCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "HARDEN-MADDOX",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-953-9355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.