PROSPER HEALTH AND WELLNESS, LLC
NPI 1619572419
Nurse Practitioner - Psychiatric/Mental Health in Tinley Park, IL

Q: What is Prosper Health And Wellness, LLC's NPI number?

The NPI number for Prosper Health And Wellness, LLC is 1619572419. It was assigned to this organization in the NPPES registry on December 1, 2020. The provider is doing business as Prosper Health and Wellness.

Q: What is Prosper Health And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 01, 2020

7901 W 159TH ST, TINLEY PARK, IL 60477(312) 279-9814(312) 279-9879 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 14, 2023, Mar 23, 2023, Dec 5, 2020 (3 updates tracked since 2020).

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About Prosper Health And Wellness, Llc NPPES

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

PROSPER HEALTH AND WELLNESS, LLC (NPI 1619572419), doing business as Prosper Health And Wellness, is a healthcare organization registered as a psychiatric/mental health in Tinley Park, Illinois and active in the NPI registry since December 2020. The organization maintains a secondary practice location in Chicago and lists Gladys Larsen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619572419

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePROSPER HEALTH AND WELLNESS, LLC

Location Address7901 W 159TH STTinley Park, IL 60477-1881

Mailing Address122 S Michigan AveChicago, IL 60603-6191 · (312) 279-9814 · Fax (312) 279-9879

Phone(312) 279-9814

Fax(312) 279-9879

Organization SubpartNo

Authorized OfficialGladys LarsenCeo · (708) 465-2299

Enumeration DateDecember 1, 2020

Last NPPES UpdateJanuary 23, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1619572419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

7901 W 159TH ST, Tinley Park, IL 60477

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Other Names 1

Doing Business AsProsper Health And Wellness

Secondary Practice Location 1

Location 1122 S Michigan AveChicago, IL 60603-6191 · Phone (312) 279-9814

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prosper Health And Wellness, Llc 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 Prosper Health And Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gladys Larsen, FNP

Nurse Practitioner

NPI 1174974661

7901 W 159TH ST STE B
Tinley Park, IL 60477

(312) 279-9814

✔ PECOS✔ Accepts MedicareSame address

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 Prosper Health And Wellness, LLC's NPI number?

The NPI number for Prosper Health And Wellness, LLC is 1619572419. It was assigned to this organization in the NPPES registry on December 1, 2020. The provider is doing business as Prosper Health and Wellness.

Where is Prosper Health And Wellness, LLC located?

Prosper Health And Wellness, LLC is located at 7901 W 159th St, Tinley Park, IL 60477. The listed phone number is (312) 279-9814.

What is Prosper Health And Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Prosper Health And Wellness, LLC enrolled in Medicare?

Yes. Prosper Health And Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prosper Health And Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Prosper Health And Wellness, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Prosper Health And Wellness, LLC accept?

Health plans from Ambetter Health list Prosper Health And Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prosper Health And Wellness, LLC was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.