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CONSCIOUS RESET THERAPY AND WELLNESS, PLLC
NPI 1609745470
Social Worker - Clinical in Chicago, IL

Active since October 31, 2025
4334 N CLARENDON AVE APT 302, CHICAGO, IL 60613(703) 405-5631 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Conscious Reset Therapy And Wellness, Pllc NPPES

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

CONSCIOUS RESET THERAPY AND WELLNESS, PLLC (NPI 1609745470) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since October 2025. The organization lists Vincent Henneburg, Owner, as its authorized official.

NPPES Registry Identity

NPI1609745470
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCONSCIOUS RESET THERAPY AND WELLNESS, PLLC
Location Address4334 N CLARENDON AVE APT 302Chicago, IL 60613-1563
Mailing Address4334 N Clarendon Ave Apt 302Chicago, IL 60613-1563 · (703) 405-5631
Phone(703) 405-5631
Organization SubpartNo
Authorized OfficialVincent HenneburgOwner · (703) 405-5631
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1609745470 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.
4334 N CLARENDON AVE APT 302, Chicago, IL 60613
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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)

Conscious Reset Therapy And Wellness, 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 Conscious Reset Therapy And Wellness, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vincent Henneburg
Clinical Social Worker
NPI 1245744754
120 S MARION ST
Oak Park, IL 60302
(708) 383-7500
✔ PECOS9.3 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 Conscious Reset Therapy And Wellness, PLLC's NPI number?

The NPI number for Conscious Reset Therapy And Wellness, PLLC is 1609745470. It was assigned to this organization in the NPPES registry on October 31, 2025.

Where is Conscious Reset Therapy And Wellness, PLLC located?

Conscious Reset Therapy And Wellness, PLLC is located at 4334 N Clarendon Ave Apt 302, Chicago, IL 60613. The listed phone number is (703) 405-5631.

What is Conscious Reset Therapy And Wellness, PLLC's specialty?

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

Is Conscious Reset Therapy And Wellness, PLLC enrolled in Medicare?

Yes. Conscious Reset Therapy And Wellness, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conscious Reset Therapy And Wellness, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Conscious Reset Therapy And Wellness, 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 Conscious Reset Therapy And Wellness, PLLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.