Organization Active NPI

Client Centered Wellness LLC

Doing business as New Path Mental Health

  • Clinical Psychologist
  • Plainfield, IL
National Provider Identifier
1720702160
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CLIENT CENTERED WELLNESS LLC
Doing business as
New Path Mental Health
Practice address
15105 S James St Ste 3
Plainfield, IL 60544-2171
Phone
(630) 885-0131
NPI assigned
Sep 29, 2022
Last updated
Sep 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
John Crouse
Title
Office Manager
Phone
(630) 806-4624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

15105 S James St Ste 3
Plainfield, IL 60544-2171

Mailing address

208 Cambridge CT
Oswego, IL 60543-8023
Phone (630) 806-4624

Other names 1

  • New Path Mental Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.newpathmh.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221104002530 IL Part B Supplier - Clinic/Group Practice 8224405188 Receives reassigned benefits from 1 practitioner
Practice locations: Plainfield, IL

National Provider Directory

National Provider Directory

Locations

15105 S James St
Ste 3
Plainfield, IL 60544
Phone (630) 885-0131

Practitioners & affiliated clinicians

Practitioners 1

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": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1720702160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CAMBRIDGE CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438023",
            "telephone_number": "630-806-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15105 S JAMES ST STE 3",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442171",
            "telephone_number": "630-885-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIENT CENTERED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-806-4624"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.newpathmh.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15105 S James St Ste 3",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605442171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New Path Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.

Verify at the official NPI Registry.