THE MODERN WELLNESS COLLECTIVE, PLLC
NPI 1164200093
Clinic/Center - Adult Mental Health in Chicago, IL
NPI Status: Active since September 20, 2023
Contact Information
661 W LAKE ST STE 2S
CHICAGO, IL
ZIP 60661
Phone: (419) 681-5889
- Organization
- Clinic/Center
- Adult Mental Health
- Accepts Insurance
About THE MODERN WELLNESS COLLECTIVE, PLLC
This page provides the complete NPI Profile along with additional information for The Modern Wellness Collective, Pllc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1164200093 assigned on September 2023. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Kirsten Hall-baldwin Lcpc (Licensed Therapist)
- NPI
- 1164200093
- Provider Name
- THE MODERN WELLNESS COLLECTIVE, PLLC
- Entity Type
- Organization
- Location Address
- 661 W LAKE ST STE 2S CHICAGO, IL 60661
- Location Phone
- (419) 681-5889
- Mailing Address
- 661 W LAKE ST STE 2S CHICAGO, IL 60661
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2023
- Last Update Date
- 11-01-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 2 | 0 | 0 | 0 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 4 | 0 | 0 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 4 + 0 + 0 + 0 + 1 + 8 + 24 = 47 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 47 = 3 | 3 | ||||||||
The NPI number 1164200093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1962737171 | MS. SUSAN KILLELEA LCSW Individual | Social Worker (Clinical) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 554-5279 |
| 1598314106 | CHRISTINE AIELLO LMFT Individual | Marriage & Family Therapist | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 766-7025 |
| 1366116550 | CHRISTINE AIELLO THERAPY, PLLC Organization | Marriage & Family Therapist | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 766-7025 |
| 1811595325 | VERONICA LOZANO Individual | Social Worker | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 775-2045 |
| 1811651664 | SHEILA LESTER BURGESS MA Individual | Counselor (Mental Health) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (708) 669-4765 |
| 1003572140 | MEREDITH SCHROEDER LPC Individual | Counselor (Mental Health) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (847) 323-9679 |
| 1487260188 | EXPOSURE THERAPY CHICAGO PLLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 471-3910 |
| 1437801644 | HANNAH BAILEY, PLLC Organization | Counselor (Professional) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (773) 692-6525 |
| 1629729108 | THE CENTER FOR LIBERATION & WELLNESS, PLLC Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 219-4520 |
| 1174140206 | EBONY HARRIS LCSW Individual | Social Worker (Clinical) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 775-2045 |
| 1659028397 | LIFE IN COLOR COUNSELING LLC Organization | Community/Behavioral Health | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 600-5239 |
| 1770231789 | AUTHENTIC LIFE COUNSELING CHICAGO PLLC Organization | Counselor (Mental Health) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 448-7938 |
| 1245961184 | DR. FABIOLA MONTIEL PSYD Individual | Psychologist (Clinical) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 324-4809 |
| 1851022792 | MIND TO MIND WELLNESS, PLLC Organization | Clinic/Center (Adult Mental Health) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 324-4809 |
| 1093475162 | BO NOORDHOFF THERAPY, PLLC Organization | Counselor (Professional) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (708) 320-9330 |
| 1124752902 | PERIDOT COUNSELING PLLC Organization | Clinic/Center (Adult Mental Health) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (708) 998-2029 |
| 1477839629 | BORAMIE KIM NOORDHOFF LCPC Individual | Counselor (Professional) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (708) 320-9330 |
| 1104119122 | DEVORAH LEAH SILBERSTEIN LCSW Individual | Social Worker (Clinical) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 821-9023 |
| 1285847186 | MR. RONALD ANTHONY PESTANA LCSW Individual | Social Worker (Clinical) | 661 W LAKE ST STE 2S CHICAGO, IL 60661 (312) 821-9023 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164200093, enumerated in the NPI registry as an "organization" on September 20, 2023
The provider is located at 661 W Lake St Ste 2s Chicago, Il 60661 and the phone number is (419) 681-5889
This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 20, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.