RAW WELLNESS LLC
NPI 1104645027
Counselor - Mental Health in Chicago, IL
About Raw Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAW WELLNESS LLC (NPI 1104645027) is a healthcare organization registered as a mental health in Chicago, Illinois and active in the NPI registry since October 2024. The organization lists Rebecca Welles, 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)
Raw Wellness Llc 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 Raw Wellness LLC, 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 Raw Wellness LLC's NPI number?
The NPI number for Raw Wellness LLC is 1104645027. It was assigned to this organization in the NPPES registry on October 8, 2024.
Where is Raw Wellness LLC located?
Raw Wellness LLC is located at 4855 W Winnemac Ave, Chicago, IL 60630. The listed phone number is (773) 931-6006.
What is Raw Wellness LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Raw Wellness LLC enrolled in Medicare?
Yes. Raw Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Raw Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Raw Wellness LLC. 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 Raw Wellness LLC was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Raw Wellness Llc · NPI 1104645027
Mental Health organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since October 8, 2024.
## Identity
- **NPI:** 1104645027 (Entity type: Organization)
- **Enumerated:** October 8, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Rebecca Welles, OWNER
## Practice location
- **Address:** 4855 W WINNEMAC AVE, Chicago, IL 60630-2432
- **Phone:** (773) 931-6006
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104645027) · Data from the CMS NPPES public registry.