COLLABORATIVE COUNSELING GROUP OF ILLINOIS PLLC
NPI 1730810318
Social Worker - Clinical in Mundelein, IL

Active since June 23, 2022
201 MAPLEWOOD AVE, MUNDELEIN, IL 60060(847) 807-5622 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Collaborative Counseling Group Of Illinois Pllc NPPES

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

COLLABORATIVE COUNSELING GROUP OF ILLINOIS PLLC (NPI 1730810318) is a healthcare organization registered as a clinical in Mundelein, Illinois and active in the NPI registry since June 2022. The organization lists Damien Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1730810318
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOLLABORATIVE COUNSELING GROUP OF ILLINOIS PLLC
Location Address201 MAPLEWOOD AVEMundelein, IL 60060-4129
Mailing Address1 N Oplaine Rd Unit 114Gurnee, IL 60031-0804
Organization SubpartNo
Authorized OfficialDamien JacksonOwner · (224) 766-9993
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1730810318 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.
201 MAPLEWOOD AVE, Mundelein, IL 60060

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

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
201 MAPLEWOOD AVE
MUNDELEIN, IL 60060

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 Collaborative Counseling Group Of Illinois PLLC's NPI number?

The NPI number for Collaborative Counseling Group Of Illinois PLLC is 1730810318. It was assigned to this organization in the NPPES registry on June 23, 2022.

Where is Collaborative Counseling Group Of Illinois PLLC located?

Collaborative Counseling Group Of Illinois PLLC is located at 201 Maplewood Ave, Mundelein, IL 60060. The listed phone number is (847) 807-5622.

What is Collaborative Counseling Group Of Illinois PLLC'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 Collaborative Counseling Group Of Illinois PLLC was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.