NPIMap

Organization Active NPI

Obsidian Behavioral Health PLLC

  • Clinical Social Worker
  • St Charles, IL
National Provider Identifier
1841873577
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
OBSIDIAN BEHAVIORAL HEALTH PLLC
Practice address
103 N 11TH Ave Ste 106
Saint Charles, IL 60174-2278
Phone
(630) 296-4169
Fax
(630) 296-9921
NPI assigned
Apr 30, 2021
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Lindsey Kovalik Bianchini, LCSW, LISW-CPNPI 1477022648
Title
Owner
Phone
(630) 296-4169

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

103 N 11TH Ave Ste 106
Saint Charles, IL 60174-2278

Mailing address

103 N 11TH Ave Ste 106
St Charles, IL 60174-2278
Phone (630) 296-4169

National Provider Directory

National Provider Directory

Locations

103 N 11th Ave
Ste 106
St Charles, IL 60174
Phone (630) 296-4169

902 S Randall Rd
Ste C134
St Charles, IL 60174

Practitioners & affiliated clinicians

Practitioners 10

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": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1841873577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N 11TH AVE STE 106",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742278",
            "telephone_number": "630-296-4169",
            "fax_number": "630-296-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 11TH AVE STE 106",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742278",
            "telephone_number": "630-296-4169",
            "fax_number": "630-296-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSIDIAN BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "KOVALIK BIANCHINI",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-296-4169",
        "authorized_official_credential": "LCSW, LISW-CP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.