Olive and Sage Wellness

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

OLIVE AND SAGE WELLNESS

Practice address

3304 Stillwell CT
Woodridge, IL 60517-1412

Phone

(708) 722-8038

Fax

(708) 438-5093

NPI assigned

Mar 17, 2023

Organization subpart

No

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

Authorized official

Name

Samantha Sperlak, LCPCNPI 1598202954

Title

Owner and Clinical Therapist

Phone

(708) 722-8038

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.

• Samantha Sperlak, LCPC

  • Professional Counselor
  • Woodridge, IL
  • NPI 1598202954
  NPD Authorized official

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1891496618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 STILLWELL CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171412",
            "telephone_number": "708-722-8038",
            "fax_number": "708-438-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 STILLWELL CT",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171412",
            "telephone_number": "708-722-8038",
            "fax_number": "708-438-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE AND SAGE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "SPERLAK",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER AND CLINICAL THERAPIST",
        "authorized_official_telephone_number": "708-722-8038",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Oakey
• Noor Aminah Obaisi, D.D.S.
• Robin Oberle
• Elisa Ochoa, DDS
• Melissa Odom, M.S., CCC-SLP/L
• Robert J Oliver, MD
• Anna Maria Ongtengco, RN, BS, CCM
• Abril Osiecki, FNP
• OT Taught Me, PLLC
• Brandi Nicole Outlaw, LPC

• Counselor in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.