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MINDFUL SHIFT THERAPY, PLLC
NPI 1265009930
Counselor - Professional in Chicago, IL

Active since June 09, 2021
1715 E 55TH ST STE B, CHICAGO, IL 60615(312) 945-8474 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2021, Aug 5, 2021, Jun 9, 2021 (3 updates tracked since 2021).

About Mindful Shift Therapy, Pllc NPPES

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

MINDFUL SHIFT THERAPY, PLLC (NPI 1265009930) is a healthcare organization registered as a professional in Chicago, Illinois and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Oak Park and lists Danielle Walejeski, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1265009930
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMINDFUL SHIFT THERAPY, PLLC
Location Address1715 E 55TH ST STE BChicago, IL 60615-5954
Mailing Address1301 N Harlem Ave Apt 1Oak Park, IL 60302-1360
Phone(312) 945-8474
Organization SubpartNo
Authorized OfficialDanielle WalejeskiPsychotherapist · (312) 945-8474
Enumeration DateJune 9, 2021
Last NPPES UpdateAugust 12, 20213 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1265009930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1715 E 55TH ST STE B, Chicago, IL 60615
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Secondary Practice Location 1

Location 11301 N Harlem Ave Apt 1Oak Park, IL 60302-1360 · Phone (612) 237-0951

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

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 Mindful Shift Therapy, PLLC's NPI number?

The NPI number for Mindful Shift Therapy, PLLC is 1265009930. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Mindful Shift Therapy, PLLC located?

Mindful Shift Therapy, PLLC is located at 1715 E 55th St Ste B, Chicago, IL 60615. The listed phone number is (312) 945-8474.

What is Mindful Shift Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Mindful Shift Therapy, PLLC was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.