OWL STREET THERAPY PC
NPI 1164289310
Social Worker - Clinical in Plainfield, IL
About Owl Street Therapy Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OWL STREET THERAPY PC (NPI 1164289310) is a healthcare organization registered as a clinical in Plainfield, Illinois and active in the NPI registry since March 2024. The organization lists Kristina April Williams, Owner/therapist, 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)
Owl Street Therapy Pc 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 Owl Street Therapy PC, 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 Owl Street Therapy PC's NPI number?
The NPI number for Owl Street Therapy PC is 1164289310. It was assigned to this organization in the NPPES registry on March 4, 2024.
Where is Owl Street Therapy PC located?
Owl Street Therapy PC is located at 2213 Owl Dr, Plainfield, IL 60586. The listed phone number is (630) 300-4874.
What is Owl Street Therapy PC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Owl Street Therapy PC enrolled in Medicare?
Yes. Owl Street Therapy PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Owl Street Therapy PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Owl Street Therapy PC. 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 Owl Street Therapy PC was last updated on March 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Owl Street Therapy Pc · NPI 1164289310
Clinical organization in Plainfield, Illinois. Organization record, active in the CMS NPPES registry since March 4, 2024.
## Identity
- **NPI:** 1164289310 (Entity type: Organization)
- **Enumerated:** March 4, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Kristina Williams, OWNER/THERAPIST
## Practice location
- **Address:** 2213 OWL DR, Plainfield, IL 60586-6575
- **Phone:** (630) 300-4874
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164289310) · Data from the CMS NPPES public registry.