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EVENTIDE WELLNESS INC
NPI 1033714753
Clinic/Center - Mental Health (Including Community Mental Health Center) in Orland Park, IL

Active since December 01, 2020
7021 W 153RD ST STE 5, ORLAND PARK, IL 60462(708) 381-5009(888) 419-1594 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eventide Wellness Inc NPPES

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

EVENTIDE WELLNESS INC (NPI 1033714753) is a healthcare organization registered as a mental health (including community mental health center) in Orland Park, Illinois and active in the NPI registry since December 2020. The organization lists Timothy Michael Jenkins, Ed And Acting Secretary, as its authorized official.

NPPES Registry Identity

NPI1033714753
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEVENTIDE WELLNESS INC
Location Address7021 W 153RD ST STE 5Orland Park, IL 60462-5397
Mailing AddressPo Box 764Manteno, IL 60950-0764 · (708) 275-0934 · Fax (888) 419-1594
Phone(708) 381-5009
Fax(888) 419-1594
Organization SubpartNo
Authorized OfficialTimothy Michael JenkinsEd And Acting Secretary · (708) 275-0934
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1033714753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
7021 W 153RD ST STE 5, Orland Park, IL 60462
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Other Providers at the Same Location NPPES 4

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

MONIKA CIEZOBKA LCPC
Counselor (Professional)
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Cook County (170) 827-5093
AMANDA WAGNER
Marriage & Family Therapist
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Cook County (708) 275-0934
SARAH J NEUHAUS
Counselor (Professional)
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Cook County (708) 275-0934
ORLAND PARK COUNSELORS PC
Counselor
7021 W 153RD ST STE 5
ORLAND PARK, IL 60462
Cook County (708) 275-0934

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 Eventide Wellness Inc's NPI number?

The NPI number for Eventide Wellness Inc is 1033714753. It was assigned to this organization in the NPPES registry on December 1, 2020.

Where is Eventide Wellness Inc located?

Eventide Wellness Inc is located at 7021 W 153rd St Ste 5, Orland Park, IL 60462. The listed phone number is (708) 381-5009.

What is Eventide Wellness Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Eventide Wellness Inc was last updated on December 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.