Innovative Behavioral Health, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNOVATIVE BEHAVIORAL HEALTH, P.C.

Practice address

800 W 5TH Ave
#205G
Naperville, IL 60563-8965

Phone

(630) 913-7045

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christian Robert Locke, LCSWNPI 1407949720

Title

President

Phone

(630) 913-7045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

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

• Christian Robert Locke, LCSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1407949720
  Medicare reassignment Care Compare group NPD Authorized official
• Veronica Tsu Lickfelt, LCSW

  • Clinical Social Worker
  • Oswego, IL
  • NPI 1083925762
  Medicare reassignment Care Compare group NPD
• Jason Scott Cole, LCPC, CADC

  • Mental Health Counselor
  • Oswego, IL
  • NPI 1407088503
  NPD (past)
• Melanie Anne Dewey, LCPC

  • Mental Health Counselor
  • Joliet, IL
  • NPI 1679857577
  NPD (past)
• Jill Kapson, MSW/LCSW

  • Clinical Social Worker
  • Naperville, IL
  • NPI 1487906210
  NPD (past)
• Kerri Phalp, LCSW

  • Clinical Social Worker
  • Dekalb, IL
  • NPI 1639498660
  NPD (past)
• Shanna Clair Thomas, LCSW

  • Clinical Social Worker
  • West Dundee, IL
  • NPI 1285862581
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730295841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N SPARKLE CT",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437942",
            "telephone_number": "630-913-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 5TH AVE",
            "address_2": "#205G",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638965",
            "telephone_number": "630-913-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE BEHAVIORAL HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-913-7045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Ingogly, LCPC
• Meghana Injam, MD
• Inner Courage Counseling, LLC
• Inner Harmony Counseling PLLC
• Inner Strength Doula Services
• Innovative Pediatric Dentistry
• Innovative Senior Care Home Health of Chicago, LLC (LHC - Illinois Home Health Care of Naperville)
• Innovative Wound Care Inc
• Inr Medical Services LLC
• Insights Psychotherapy, LTD.

• Clinical Social Worker in Naperville, IL
• Providers in Naperville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.