NPIMap

Organization Active NPI

Mindful Mindset Wellness Center, PLLC

  • Professional Counselor
  • Naperville, IL
National Provider Identifier
1780291575
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MINDFUL MINDSET WELLNESS CENTER, PLLC
Practice address
1260 Iroquois Ave Ste 104
Naperville, IL 60563-8547
Phone
(708) 480-2048
Fax
(708) 480-0710
NPI assigned
Sep 26, 2020
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Nader Joudeh, LCPCNPI 1639633373
Title
Licensed Clinical Professional Coun
Phone
(708) 480-2048

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1260 Iroquois Ave Ste 104
Naperville, IL 60563-8547

Mailing address

1260 Iroquois Ave Ste 104
Naperville, IL 60563-8547
Phone (708) 480-2048

Other practice location 1

1717 N Naper Blvd Ste 200
Naperville, IL 60563-8838
Phone (708) 480-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202000767 IL Part B Supplier - Clinic/Group Practice 4789037037 Receives reassigned benefits from 2 practitioners
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

7667 W 95th St
Ste 209
Hickory Hills, IL 60457
Phone (708) 480-2048

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1780291575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 IROQUOIS AVE STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638547",
            "telephone_number": "708-480-2048",
            "fax_number": "708-480-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 IROQUOIS AVE STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638547",
            "telephone_number": "708-480-2048",
            "fax_number": "708-480-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N Naper Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638838",
            "country_code": "US",
            "telephone_number": "708-480-2048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL MINDSET WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "JOUDEH",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "708-480-2048",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.