Organization Active NPI

Myndfl

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1932948619
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MYNDFL
Practice address
333 Skokie Blvd Ste 101
Northbrook, IL 60062-1621
Phone
(708) 232-6580
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Shari Kalik-MillerNPI 1790329845
Title
President
Phone
(708) 232-6580

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 Primary

Addresses

Primary practice location

333 Skokie Blvd Ste 101
Northbrook, IL 60062-1621

Mailing address

324 Lincoln Ave
Glencoe, IL 60022-1558

Other practice location 1

95 Revere Dr Ste D
Northbrook, IL 60062-1585
Phone (708) 232-6580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240708003127 IL Part B Supplier - Clinic/Group Practice 5991240517 Receives reassigned benefits from 4 practitioners
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory
Tax ID family
Myndfl2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

95 Revere Dr
Ste D
Northbrook, IL 60062
Phone (708) 232-6580

333 Skokie Blvd
Ste 101
Northbrook, IL 60062
Phone (708) 232-6580

Practitioners & affiliated clinicians

Practitioners 6

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": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1932948619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LINCOLN AVE",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SKOKIE BLVD STE 101",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621621",
            "telephone_number": "708-232-6580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 REVERE DR STE D",
            "address_purpose": "LOCATION",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621585",
            "country_code": "US",
            "telephone_number": "708-232-6580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYNDFL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "KALIK-MILLER",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-232-6580"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.