Organization Active NPI

Mosaic Group LLC

  • Mental Health Counselor
  • Highland Park, IL
National Provider Identifier
1982198891
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MOSAIC GROUP LLC
Practice address
895 Sumac Rd
Highland Park, IL 60035-3840
Phone
(312) 799-9351
NPI assigned
Jun 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Veronica Vyazovsky
Title
President
Phone
(312) 799-9351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

895 Sumac Rd
Highland Park, IL 60035-3840

Mailing address

895 Sumac Rd
Highland Park, IL 60035-3840
Phone (312) 799-9351

Other identifiers 1

IdentifierTypeStateIssuer
348827170001MedicaidIL

National Provider Directory

National Provider Directory

Locations

8588 Potter Park Dr
Ste 216
Sarasota, FL 34238

8326 Consumer Ct
Ste 102
Sarasota, FL 34240
Phone (833) 260-9811

7925 Lincoln Ave
Ste 202
Skokie, IL 60077

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": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1982198891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 SUMAC RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353840",
            "telephone_number": "312-799-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 SUMAC RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353840",
            "telephone_number": "312-799-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "VYAZOVSKY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-799-9351"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348827170001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.