1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Social Worker
  6. NPI Profile

TELOS HEALTH AND WELLNESS SERVICES, LLC
NPI 1336759620
Social Worker - Clinical in Champaign, IL

Active since August 03, 2020
100 N CHESTNUT ST., STE 235, CHAMPAIGN, IL 61820(217) 292-7262(217) 209-5798 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2025, Nov 24, 2025, Aug 3, 2020 (3 updates tracked since 2020).

About Telos Health And Wellness Services, Llc NPPES

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

TELOS HEALTH AND WELLNESS SERVICES, LLC (NPI 1336759620) is a healthcare organization registered as a clinical in Champaign, Illinois and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Champaign and lists Marissa Jonal Harris, Clinical Counselor, as its authorized official.

NPPES Registry Identity

NPI1336759620
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTELOS HEALTH AND WELLNESS SERVICES, LLC
Location Address100 N CHESTNUT ST., STE 235Champaign, IL 61820-4872
Mailing Address2005 N. Prospect Ave Pmb 1178Champaign, IL 61822-1235 · (217) 292-7262 · Fax (217) 209-5798
Phone(217) 292-7262
Fax(217) 209-5798
Organization SubpartNo
Authorized OfficialMarissa Jonal HarrisClinical Counselor · (217) 898-5160
Enumeration DateAugust 3, 2020
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1336759620 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.
100 N CHESTNUT ST., Champaign, IL 61820
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 N Chestnut St Ste 235Champaign, IL 61820-4872 · Phone (217) 292-7262

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 Telos Health And Wellness Services, LLC's NPI number?

The NPI number for Telos Health And Wellness Services, LLC is 1336759620. It was assigned to this organization in the NPPES registry on August 3, 2020.

Where is Telos Health And Wellness Services, LLC located?

Telos Health And Wellness Services, LLC is located at 100 N Chestnut St. Ste 235, Champaign, IL 61820. The listed phone number is (217) 292-7262.

What is Telos Health And Wellness Services, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Telos Health And Wellness Services, LLC was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.