Organization Active NPI

Soulshine Counseling PLLC

  • Mental Health Counselor
  • Batavia, IL
National Provider Identifier
1790634699
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOULSHINE COUNSELING PLLC
Practice address
30 S Shumway Ave Ste 2W
Batavia, IL 60510-1999
Phone
(630) 379-7673
NPI assigned
Jan 23, 2026
Last updated
Jan 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Ingo Weigold, LCPCNPI 1174124747
Title
Owner
Phone
(630) 379-7673

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 1

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

Addresses

Primary practice location

30 S Shumway Ave Ste 2W
Batavia, IL 60510-1999

Mailing address

30 S Shumway Ave Ste 2W
Batavia, IL 60510-1999
Phone (630) 379-7673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260420002790 IL Part B Supplier - Clinic/Group Practice 9537635149 Receives reassigned benefits from 1 practitioner
Practice locations: Batavia, IL

National Provider Directory

National Provider Directory

Locations

30 S Shumway Ave
Ste 2W
Batavia, IL 60510
Phone (630) 379-7673

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1790634699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S SHUMWAY AVE STE 2W",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101999",
            "telephone_number": "630-379-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S SHUMWAY AVE STE 2W",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101999",
            "telephone_number": "630-379-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULSHINE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "WEIGOLD",
        "authorized_official_first_name": "INGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-379-7673",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.