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MIND LODGE
NPI 1639933732
Counselor - Mental Health in Plainfield, IL

Active since February 08, 2024
24014 W RENWICK RD STE 105-5, PLAINFIELD, IL 60544(815) 200-1099 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Jun 13, 2025, May 23, 2025 and 2 more (5 updates tracked since 2024).

About Mind Lodge NPPES

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

MIND LODGE (NPI 1639933732) is a healthcare organization registered as a mental health in Plainfield, Illinois and active in the NPI registry since February 2024. The organization maintains 4 additional practice locations and lists Angela Olson, Owner And Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1639933732
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIND LODGE
Location Address24014 W RENWICK RD STE 105-5Plainfield, IL 60544-8708
Mailing Address13855 S Petersburg DrPlainfield, IL 60544-7078 · (815) 200-1099
Phone(815) 200-1099
Organization SubpartNo
Authorized OfficialAngela OlsonOwner And Clinical Therapist · (815) 200-1099
Enumeration DateFebruary 8, 2024
Last NPPES UpdateNovember 7, 20255 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
✔ NPI 1639933732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
24014 W RENWICK RD STE 105-5, Plainfield, IL 60544
Open in Google Maps ↗

Secondary Practice Locations 4

Location 124014 W Renwick Rd Unit 3Plainfield, IL 60544-8708 · Phone (815) 200-1099
Location 224014 W Renwick Rd Ste 100-12Plainfield, IL 60544-8708 · Phone (815) 200-1099
Location 324014 W Renwick Rd, Ste 103Plainfield, IL 60544 · Phone (815) 200-1130
Location 413855 S Petersburg DrPlainfield, IL 60544-7078 · Phone (815) 517-8467

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVON CHARLES
Social Worker
24014 W RENWICK RD STE 105-5
PLAINFIELD, IL 60544
Will County (815) 200-1130
ANGELA OLSON LCPC
Counselor (Professional)
24014 W RENWICK RD STE 105-5
PLAINFIELD, IL 60544
Will County (815) 200-1099

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 Mind Lodge's NPI number?

The NPI number for Mind Lodge is 1639933732. It was assigned to this organization in the NPPES registry on February 8, 2024.

Where is Mind Lodge located?

Mind Lodge is located at 24014 W Renwick Rd Ste 105-5, Plainfield, IL 60544. The listed phone number is (815) 200-1099.

What is Mind Lodge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mind Lodge was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.