MIRACLEWORKS THERAPY & CONSULTING PLLC
NPI 1215536693
Social Worker - Clinical in Chicago, IL

Active since October 18, 2020
51 E 14TH ST, CHICAGO, IL 60605(872) 228-5573 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2022, Oct 18, 2020 (2 updates tracked since 2020).

About Miracleworks Therapy & Consulting Pllc NPPES

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

MIRACLEWORKS THERAPY & CONSULTING PLLC (NPI 1215536693) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Chicago and lists Miracle Donique Montgomery, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1215536693
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIRACLEWORKS THERAPY & CONSULTING PLLC
Location Address51 E 14TH STChicago, IL 60605-2837
Mailing Address51 E 14th St Apt 1008Chicago, IL 60605-2998 · (310) 849-4786
Organization SubpartNo
Authorized OfficialMiracle Donique MontgomeryPsychotherapist · (310) 849-4786
Enumeration DateOctober 18, 2020
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1215536693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
51 E 14TH ST, Chicago, IL 60605

Secondary Practice Location 1

Location 12138 S Indiana AveChicago, IL 60616-4930 · Phone (310) 849-4786

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miracleworks Therapy & Consulting 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 Miracleworks Therapy & Consulting PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1659527927
676 N SAINT CLAIR ST STE 1000
Chicago, IL 60611
(312) 695-5060
✔ PECOS✔ Accepts Medicare2.3 mi

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 Miracleworks Therapy & Consulting PLLC's NPI number?

The NPI number for Miracleworks Therapy & Consulting PLLC is 1215536693. It was assigned to this organization in the NPPES registry on October 18, 2020.

Where is Miracleworks Therapy & Consulting PLLC located?

Miracleworks Therapy & Consulting PLLC is located at 51 E 14th St, Chicago, IL 60605. The listed phone number is (872) 228-5573.

What is Miracleworks Therapy & Consulting PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Miracleworks Therapy & Consulting PLLC enrolled in Medicare?

Yes. Miracleworks Therapy & Consulting PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miracleworks Therapy & Consulting PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Miracleworks Therapy & Consulting 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 Miracleworks Therapy & Consulting PLLC was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.