Organization Active NPI

Triwellness, PC

  • Multi-Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1871001289
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TRIWELLNESS, PC
Practice address
4055 W Peterson Ave Ste 201
Chicago, IL 60646-6183
Phone
(224) 518-4547
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Aarti S. Felder, MA, LCPCNPI 1457716268
Title
President/Clinical Director
Phone
(224) 518-4547

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4055 W Peterson Ave Ste 201
Chicago, IL 60646-6183

Mailing address

4055 W Peterson Ave Ste 201
Chicago, IL 60646-6183
Phone (224) 518-4547

Other names 1

  • Triwellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240513003391 IL Part B Supplier - Clinic/Group Practice 9436590163 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1945 W Wilson Ave
Ste 6114
Chicago, IL 60640
Phone 22451845471002

5214 N Western Ave
Ste 203
Chicago, IL 60625
Phone (312) 746-5905

Practitioners & affiliated clinicians

Practitioners 3

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": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1871001289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 W PETERSON AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466183",
            "telephone_number": "224-518-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 W PETERSON AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466183",
            "telephone_number": "224-518-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIWELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "FELDER",
        "authorized_official_first_name": "AARTI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "224-518-4547",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triwellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 18, 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.