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360 DEGREES WELLNESS & COACHING LLC
NPI 1497176523
Social Worker - Clinical in Lake Forest, IL

Active since December 16, 2013
225 E DEERPATH, SUITE 280, LAKE FOREST, IL 60045(224) 619-6982 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About 360 Degrees Wellness & Coaching Llc NPPES

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

360 DEGREES WELLNESS & COACHING LLC (NPI 1497176523) is a healthcare organization registered as a clinical in Lake Forest, Illinois and active in the NPI registry since December 2013. The organization lists Sophia Shlain, Owner, as its authorized official.

NPPES Registry Identity

NPI1497176523
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business Name360 DEGREES WELLNESS & COACHING LLC
Location Address225 E DEERPATH, SUITE 280Lake Forest, IL 60045-1952
Mailing Address225 E Deerpath, Suite 280Lake Forest, IL 60045-1952 · (224) 619-6982
Phone(224) 619-6982
Organization SubpartNo
Authorized OfficialSophia ShlainOwner · (224) 619-6982
Enumeration DateDecember 16, 2013
✔ NPI 1497176523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.011971
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.
225 E DEERPATH, Lake Forest, IL 60045
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

360 Degrees Wellness & Coaching Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to 360 Degrees Wellness & Coaching LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Clinical Social Worker6
Mental Health Counselor3
Clinical Psychologist2

Clinicians, nearest first (11)

Jonathan Handrup
Clinical Social Worker
NPI 1295306322
225 E DEERPATH
Lake Forest, IL 60045
(847) 796-6400
✔ PECOS✔ Accepts MedicareSame address
Michaela Malone
Clinical Social Worker
NPI 1376190132
225 E DEERPATH STE 280
Lake Forest, IL 60045
(847) 796-6400
✔ PECOSSame address
Jill Kreller, LCPC
Mental Health Counselor
NPI 1982836177
225 E DEERPATH SUITE 280
Lake Forest, IL 60045
(425) 999-5170
✔ PECOS✔ Accepts MedicareSame address
Claudia Talia-Twyman, MA LPC
Mental Health Counselor
NPI 1760749949
24647 N MILWAUKEE AVE
Vernon Hills, IL 60061
(847) 377-7950
✔ PECOS✔ Accepts Medicare5.3 mi
Matthew Marder, LCSW
Clinical Social Worker
NPI 1841596475
821 FAULKNER PL
Vernon Hills, IL 60061
(847) 420-5103
✔ PECOS✔ Accepts Medicare6.5 mi
Vivianne Swerdlow
Clinical Social Worker
NPI 1144916032
770 LAKE COOK RD STE 200
Deerfield, IL 60015
(847) 607-9662
✔ PECOS✔ Accepts Medicare6.7 mi
Deborah Kronenberger, LCPC
Mental Health Counselor
NPI 1538582648
215 REVERE DR
Northbrook, IL 60062
(847) 609-0840
✔ PECOS✔ Accepts Medicare7.3 mi
Sophia Shlain, LCSW
Clinical Social Worker
NPI 1083838346
201 E STRONG ST
Wheeling, IL 60090
(224) 619-6982
✔ PECOS✔ Accepts Medicare8.4 mi
Katie Salyer Szostak, PSY.D.
Clinical Psychologist
NPI 1336633627
638 RAVINIA DR
Gurnee, IL 60031
(847) 840-6803
✔ PECOS✔ Accepts Medicare11 mi
Matthew Selekman, MSW
Clinical Social Worker
NPI 1134350671
1007 CHURCH ST. SUITE 515
Evanston, IL 60201
(847) 226-4219
✔ PECOS✔ Accepts Medicare16 mi
Garth Amundson, PSY.D.
Clinical Psychologist
NPI 1629133996
1010 LAKE ST STE 110
Oak Park, IL 60301
(708) 416-6475
✔ PECOS✔ Accepts Medicare25 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 360 Degrees Wellness & Coaching LLC's NPI number?

The NPI number for 360 Degrees Wellness & Coaching LLC is 1497176523. It was assigned to this organization in the NPPES registry on December 16, 2013.

Where is 360 Degrees Wellness & Coaching LLC located?

360 Degrees Wellness & Coaching LLC is located at 225 E Deerpath Suite 280, Lake Forest, IL 60045. The listed phone number is (224) 619-6982.

What is 360 Degrees Wellness & Coaching LLC's specialty?

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

Is 360 Degrees Wellness & Coaching LLC enrolled in Medicare?

Yes. 360 Degrees Wellness & Coaching LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 360 Degrees Wellness & Coaching LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to 360 Degrees Wellness & Coaching 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. The largest specialties are Clinical Social Worker (6), Mental Health Counselor (3) and Clinical Psychologist (2). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 360 Degrees Wellness & Coaching LLC was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.