Organization Active NPI

Connected Healing & Wellness PLLC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1720990393
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CONNECTED HEALING & WELLNESS PLLC
Practice address
11221 S Talman Ave
Chicago, IL 60655-1911
Phone
(773) 653-0339
NPI assigned
Sep 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Kristina Annerino-Fernandez, LCPC
Title
Owner
Phone
(773) 653-0339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11221 S Talman Ave
Chicago, IL 60655-1911

Mailing address

11221 S Talman Ave
Chicago, IL 60655-1911
Phone (773) 653-0339

NPI Registry JSON

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1720990393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 S TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551911",
            "telephone_number": "773-653-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 S TALMAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606551911",
            "telephone_number": "773-653-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED HEALING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "ANNERINO-FERNANDEZ",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-653-0339",
        "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": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.