RESILIENT MENTAL HEALTH & WELLNESS PLLC
NPI 1073312351
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL
About Resilient Mental Health & Wellness Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESILIENT MENTAL HEALTH & WELLNESS PLLC (NPI 1073312351) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since March 2025. The organization lists Derick Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Resilient Mental Health & Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Resilient Mental Health & Wellness PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Resilient Mental Health & Wellness PLLC's NPI number?
The NPI number for Resilient Mental Health & Wellness PLLC is 1073312351. It was assigned to this organization in the NPPES registry on March 10, 2025.
Where is Resilient Mental Health & Wellness PLLC located?
Resilient Mental Health & Wellness PLLC is located at 8543 S Stony Island Ave Ste 3, Chicago, IL 60617. The listed phone number is (312) 380-9808.
What is Resilient Mental Health & Wellness PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Resilient Mental Health & Wellness PLLC enrolled in Medicare?
Yes. Resilient Mental Health & Wellness PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Resilient Mental Health & Wellness PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Resilient Mental Health & Wellness PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Resilient Mental Health & Wellness PLLC was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Resilient Mental Health & Wellness Pllc · NPI 1073312351
Psychiatric/Mental Health organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since March 10, 2025.
## Identity
- **NPI:** 1073312351 (Entity type: Organization)
- **Enumerated:** March 10, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Derick Johnson, OWNER
## Practice location
- **Address:** 8543 S STONY ISLAND AVE STE 3, Chicago, IL 60617-2249
- **Phone:** (312) 380-9808
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073312351) · Data from the CMS NPPES public registry.