Active NPI
Blue Collar Wellness PLLC
- Community/Behavioral Health Agency
- Aurora, IL
National Provider Identifier
1992516363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BLUE COLLAR WELLNESS PLLC
- Practice address
- 411 W Galena Blvd
Aurora, IL 60506-3900 - Phone
- (630) 557-6057
- Fax
- (331) 319-3903
- NPI assigned
- Jan 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Abigail Kemph, LCPC
- Title
- Counselor
- Phone
- (630) 723-1006
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
411 W Galena Blvd
Aurora, IL 60506-3900
Mailing address
2412 Red Oak CT
Plainfield, IL 60586-2215
Phone (630) 723-1006
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Plainfield, IL
- NPI 1275205536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1992516363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2412 RED OAK CT",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605862215",
"telephone_number": "630-723-1006",
"fax_number": "331-319-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W GALENA BLVD",
"city": "AURORA",
"state": "IL",
"postal_code": "605063900",
"telephone_number": "630-557-6057",
"fax_number": "331-319-3903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE COLLAR WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-15",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "KEMPH",
"authorized_official_first_name": "ABIGAIL",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "630-723-1006",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.