Create Anew Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATE ANEW WELLNESS PLLC

Practice address

100 S Atkinson Rd Ste 203-205
Grayslake, IL 60030-7817

Phone

(787) 553-7603

NPI assigned

Aug 14, 2026

Last updated

Sep 22, 2026By 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

Damari Ortiz, LCPC

Title

Co-Owner

Phone

(224) 276-5490

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1952216996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S ATKINSON RD STE 203-205",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ATKINSON RD STE 203-205",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307817",
            "telephone_number": "787-553-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATE ANEW WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "DAMARI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "224-276-5490",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.