Active NPI
Plena Mind Center, LLC
- Adolescent and Children Mental Health Clinic/Center
- Northbrook, IL
National Provider Identifier
1790287969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- PLENA MIND CENTER, LLC
- Practice address
- 1450 Techny Rd
Northbrook, IL 60062-5447 - Phone
- (847) 562-5612
- Fax
- (847) 562-5613
- NPI assigned
- Mar 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Goebel-Paul
- Title
- Ceo
- Phone
- (847) 562-5613
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary |
Addresses
Primary practice location
1450 Techny Rd
Northbrook, IL 60062-5447
Mailing address
1450 Techny Rd
Northbrook, IL 60062-5447
Phone (847) 562-5612
Other practice location 1
224 W Hill St Ste 510
Chicago, IL 60610-2926
Phone (847) 562-5612
National Provider Directory
National Provider DirectoryLocations
224 W Hill St
Ste 510
Chicago, IL 60610
Phone (847) 562-5612
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Northbrook, IL
- NPI 1669635108
-
- Psychiatry Physician
- Park Ridge, IL
- NPI 1205367448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1790287969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TECHNY RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600625447",
"telephone_number": "847-562-5612",
"fax_number": "847-562-5613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 TECHNY RD",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600625447",
"telephone_number": "847-562-5612",
"fax_number": "847-562-5613"
}
],
"practiceLocations": [
{
"address_1": "224 W Hill St Ste 510",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606102926",
"country_code": "US",
"telephone_number": "847-562-5612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PLENA MIND CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-05",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "GOEBEL-PAUL",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "847-562-5613"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.