Organization Active NPI

Dokko Wellness Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1801460548
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DOKKO WELLNESS SERVICES LLC
Practice address
17 N Wabash Ave Ste 515
Chicago, IL 60602-4818
Phone
(773) 809-3528
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Mrs. Aimee Dokko Osborne, LCPC, NCCNPI 1316437809
Title
Owner
Phone
(773) 809-3528

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

17 N Wabash Ave Ste 515
Chicago, IL 60602-4818

Mailing address

6711 N Loron Ave
Chicago, IL 60646-1409
Phone (303) 810-3144

Other identifiers 2

IdentifierTypeStateIssuer
181.012798OtherILSTATE OF ILLINOIS-DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
1316437809OtherNPPES (NPI 1)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1801460548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 N LORON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461409",
            "telephone_number": "303-810-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N WABASH AVE STE 515",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024818",
            "telephone_number": "773-809-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOKKO WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_middle_name": "DOKKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-809-3528",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS-DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "181.012798",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES (NPI 1)",
            "identifier": "1316437809",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.