Thea Justine Rossmiller, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1025 W Everett Rd Ste 4
Lake Forest, IL 60045-2668

Phone

(309) 252-0683

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inspire Counseling Center, LLC

  • Professional Counselor
  • Northbrook, IL
  • NPI 1295289726
  Medicare reassignment NPD
• Paper Crane Counseling LLC

  • Clinical Social Worker
  • Lake Forest, IL
  • NPI 1841187531

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1760121172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17894 W BRAEWICK RD",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315207",
            "telephone_number": "309-252-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W EVERETT RD STE 4",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452668",
            "telephone_number": "309-252-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSMILLER",
        "first_name": "THEA",
        "middle_name": "JUSTINE",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Rosen, MD
• Richard Gary Rosenblatt, D.M.D.
• Sheri Ross, MD
• William Brian Ross, DDS
• Kimberly Rossin, PA
• Sabrina Carlins Roth, PA-C
• Leslie S Rubeck, APRN, CNM
• Mark A Rudberg, MD MPH
• Bradley E Ruff, M.D.,
• Kimberly Rusesky

• Clinical Social Worker in Lake Forest, IL
• Providers in Lake Forest, 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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.