Children's Wellness Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHILDREN'S WELLNESS SERVICES, PLLC

Practice address

807 Church St Apt 501
Evanston, IL 60201-3767

Phone

(212) 401-4835

NPI assigned

Dec 26, 2020

Last updated

Dec 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelli Dry, OTDNPI 1235261538

Title

Managing Organization

Phone

(212) 401-4835

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 2

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.

• Shelli Dry, OTD, MED, OTR/L

  • Occupational Therapist
  • Simpsonville, KY
  • NPI 1235261538
  NPD Authorized official
• Stephanie J Coleman, LPC

  • Counselor
  • Astoria, NY
  • NPI 1730706086

  Single Specialty

  NPD

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608940800000",
    "number": "1780271692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 28TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063201",
            "telephone_number": "212-401-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 CHURCH ST APT 501",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013767",
            "telephone_number": "212-401-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S WELLNESS SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A",
        "authorized_official_last_name": "DRY",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "MANAGING ORGANIZATION",
        "authorized_official_telephone_number": "212-401-4835",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.enablemychild.com/brain",
            "affiliation": "N",
            "address_1": "3545 28th St",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111063201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ming Jie Chiang, ACUPUNCTURIST
• Chicago North Shore Therapy
• Chicago Psych Therapy Group, Inc. (Gulf Coast Psych Therapy Group)
• Children's Home & Aid Society of America
• Children's Physician Group
• Childrens Memorial Hospital
• Henry Chill
• Delaney Glenn Chimienti, LCPC
• Celina Chiodo
• Chiro One Wellness Center of Evanston SC

• Mental Health Counselor in Evanston, IL
• Providers in Evanston, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; 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.