Blue Phoenix Wellness & Counseling, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE PHOENIX WELLNESS & COUNSELING, INC

Practice address

24586 W Oak St
Round Lake, IL 60073-1428

Phone

(224) 250-1228

NPI assigned

Feb 4, 2026

Last updated

Feb 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mariya Blue, LCSWNPI 1184346587

Title

Mental Health Therapist/President

Phone

(224) 250-1228

Specialties & licenses 1

Addresses

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.

• Mariya Blue, MSW, LCSW

  • Clinical Social Worker
  • Lake Zurich, IL
  • NPI 1184346587
  NPD Authorized official

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1831040005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24586 W OAK ST",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600731428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24586 W OAK ST",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600731428",
            "telephone_number": "224-250-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE PHOENIX WELLNESS & COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "224-250-1228",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Avers, CADC
• Javon I Baker Sr., BEP CERTIFICATE
• Will K Barquin
• Jennifer Barrett-Zitkus
• Sabrina Berardi, RPH
• Katy Boyack
• Kathryn Brown, RDN, LDN
• Mary Burnett
• Ashley Burrows
• Call My Ride Medical Transportation, LLC

• Clinical Social Worker in Round Lake, IL
• Providers in Round Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.

Verify at the official NPI Registry.