Sierra Wellness Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SIERRA WELLNESS THERAPY LLC

Practice address

1424 E Main St
St Charles, IL 60174-3278

Phone

(630) 510-0058

NPI assigned

Mar 3, 2025

Last updated

Mar 18, 2025By 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

Shauna Wolf, LCSWNPI 1861153702

Title

Owner/Therapist

Phone

(630) 510-0058

Specialties & licenses 1

Addresses

Locations

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.

• Shauna Wolf, MSW, LCSW

  • Clinical Social Worker
  • St Charles, IL
  • NPI 1861153702
  NPD Authorized official

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1871391326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743278",
            "telephone_number": "630-510-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 E MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601743278",
            "telephone_number": "630-510-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA WELLNESS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "630-510-0058",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Christina Siambekos
• Evelyn Sibulo
• Hina Siddiqui, D.O.
• Seham Siddiqui, SLP
• Alexis Siegmann, AMFT
• Signature Consulting and Psychological Services, Inc.
• Tracy Lynn Siligmueller, SLP
• Silver Birch Counseling and Wellness, PLLC
• Silver Glen Road Opco LLC (Recovery Centers of America at St. Charles)
• Shelley A Simmering, CPED

• Clinical Social Worker in St Charles, IL
• Providers in St Charles, 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 Mar 18, 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.