NPIMap

Organization Active NPI

Essentially You Counseling and Wellness Services, LLC

  • Mental Health Counselor
  • Bloomingdale, IL
National Provider Identifier
1851802896
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.010289 Issued in IL
Legal business name
ESSENTIALLY YOU COUNSELING AND WELLNESS SERVICES, LLC
Practice address
255 E Lake St Ste 200
Bloomingdale, IL 60108-1287
Phone
(815) 295-5470
NPI assigned
Oct 17, 2017
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Erin Redfern, LCPCNPI 1003180258
Title
President
Phone
(815) 295-5470

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 180.010289 IL Primary

Addresses

Primary practice location

255 E Lake St Ste 200
Bloomingdale, IL 60108-1287

Mailing address

255 E Lake St Ste 200
Bloomingdale, IL 60108-1287
Phone (815) 295-5470

Other practice location 1

125 Fairfield Way Ste 380
Bloomingdale, IL 60108-3701
Phone (815) 295-5470

Other practice location 2

440 W Boughton Rd Ste 104
Bolingbrook, IL 60440-1406
Phone (815) 295-5470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220922000371 IL Part B Supplier - Clinic/Group Practice 5294110516 Receives reassigned benefits from 5 practitioners
Practice locations: Bolingbrook, IL; Bloomingdale, IL

National Provider Directory

National Provider Directory

Locations

125 Fairfield Way
Ste 380
Bloomingdale, IL 60108
Phone (815) 219-3193

255 E Lake St
Ste 200
Bloomingdale, IL 60108
Phone (815) 295-5470

440 W Boughton Rd
Ste 104
Bolingbrook, IL 60440
Phone (331) 318-8181

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1851802896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E LAKE ST STE 200",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081287",
            "telephone_number": "815-295-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E LAKE ST STE 200",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081287",
            "telephone_number": "815-295-5470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Fairfield Way Ste 380",
            "address_purpose": "LOCATION",
            "city": "Bloomingdale",
            "state": "IL",
            "postal_code": "601083701",
            "country_code": "US",
            "telephone_number": "815-295-5470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 W Boughton Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401406",
            "country_code": "US",
            "telephone_number": "815-295-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESSENTIALLY YOU COUNSELING AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "REDFERN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-295-5470",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.010289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.