OBSIDIAN COUNSELING AND WELLNESS, LLC
NPI 1003396599
Counselor - Mental Health in Northbrook, IL

Active since August 15, 2018
1200 SHERMER RD STE 203, NORTHBROOK, IL 60062(847) 208-2972 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Obsidian Counseling And Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OBSIDIAN COUNSELING AND WELLNESS, LLC (NPI 1003396599) is a healthcare organization registered as a mental health in Northbrook, Illinois and active in the NPI registry since August 2018. The organization lists Ilyssa Lasky, Owner, as its authorized official.

NPPES Registry Identity

NPI1003396599
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameOBSIDIAN COUNSELING AND WELLNESS, LLC
Location Address1200 SHERMER RD STE 203Northbrook, IL 60062-4500
Mailing Address723 Elm St Ste 20Winnetka, IL 60093-2565
Organization SubpartNo
Authorized OfficialIlyssa LaskyOwner · (847) 208-2972
Enumeration DateAugust 15, 2018
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1003396599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1200 SHERMER RD STE 203, Northbrook, IL 60062

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1200 SHERMER RD STE 203
NORTHBROOK, IL 60062
Counselor (Mental Health)
1200 SHERMER RD STE 203
NORTHBROOK, IL 60062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Obsidian Counseling And Wellness, LLC's NPI number?

The NPI number for Obsidian Counseling And Wellness, LLC is 1003396599. It was assigned to this organization in the NPPES registry on August 15, 2018.

Where is Obsidian Counseling And Wellness, LLC located?

Obsidian Counseling And Wellness, LLC is located at 1200 Shermer Rd Ste 203, Northbrook, IL 60062. The listed phone number is (847) 208-2972.

What is Obsidian Counseling And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Obsidian Counseling And Wellness, LLC was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.