Active NPI
Miracle Williams
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukegan, IL
National Provider Identifier
1699681106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Practice address
- 204 N Genesee St
Waukegan, IL 60085-4262 - Phone
- (847) 441-5600
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | IL | ||
| Family Psychologist | 103TF0000X | IL | ||
| Mental Health Counselor | 101YM0800X | IL | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | IL | Primary |
Addresses
Primary practice location
204 N Genesee St
Waukegan, IL 60085-4262
Mailing address
3105 N Luna Ave
Chicago, IL 60641-4849
Phone (773) 301-4193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1699681106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 N LUNA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606414849",
"telephone_number": "773-301-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N GENESEE ST",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600854262",
"telephone_number": "847-441-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "MIRACLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.