Uniquely Resilient PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UNIQUELY RESILIENT PLLC

Practice address

26451 S Woodlawn Ave
Crete, IL 60417-4505

Phone

(708) 573-9091

NPI assigned

Feb 14, 2020

Organization subpart

No

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

Authorized official

Name

Ebony Kozelsky, LCSWNPI 1225675564

Title

Owner

Phone

(708) 573-9091

Specialties & licenses 1

Addresses

Other names 1

• Uniquely Resilient LLC Former legal business name

Practitioners 1

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

• Ebony Kozelsky, LCSW

  • Clinical Social Worker
  • Crete, IL
  • NPI 1225675564
  NPD Authorized official

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1770116048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26451 S WOODLAWN AVE",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604174505",
            "telephone_number": "708-573-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26451 S WOODLAWN AVE",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604174505",
            "telephone_number": "708-573-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUELY RESILIENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "KOZELSKY",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-573-9091",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uniquely Resilient LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Destiny L. Tanas
• Ashley Teresiak
• Paula Thigpen, LCSW
• Carl Triebold, L.C.P.C, C.R.C
• Trilogy Healthcare of Will, LLC
• Douglas Van Til, LCSW
• Veld Vision Center
• Paul A Veld, O.D.
• Village of Crete
• Vip Labs LLC.

• Community/Behavioral Health Agency in Crete, IL
• Providers in Crete, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.