Organization Active NPI

Higher Ground Wellness Group LTD

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1801425335
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HIGHER GROUND WELLNESS GROUP LTD
Practice address
1053 Lake St Ste 3
Oak Park, IL 60301-1144
Phone
(773) 317-2056
NPI assigned
Apr 6, 2020
Reactivated
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Felicia M Owens, PSY.DNPI 1154799179
Title
President
Phone
(773) 317-2056

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
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1053 Lake St Ste 3
Oak Park, IL 60301-1144

Mailing address

1053 Lake St Ste 3
Oak Park, IL 60301-1144
Phone (773) 317-2056

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210118000677 IL Part B Supplier - Clinic/Group Practice 7719390418 Receives reassigned benefits from 3 practitioners
Practice locations: Oak Park, IL

National Provider Directory

National Provider Directory

Locations

6323 N Avondale Ave
Ste B245
Chicago, IL 60631
Phone (773) 853-0648

501 W North Ave
Ste 202
Melrose Park, IL 60160

1053 Lake St
Ste 3
Oak Park, IL 60301
Phone (773) 317-2056

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1801425335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 LAKE ST STE 3",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011144",
            "telephone_number": "773-317-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 LAKE ST STE 3",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011144",
            "telephone_number": "773-317-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHER GROUND WELLNESS GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "deactivation_date": "2024-11-08",
        "reactivation_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-317-2056",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.