BLUE PHOENIX WELLNESS & COUNSELING, INC
NPI 1831040005
Social Worker - Clinical in Round Lake, IL

Active since February 04, 2026
24586 W OAK ST, ROUND LAKE, IL 60073(224) 250-1228 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blue Phoenix Wellness & Counseling, Inc NPPES

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

BLUE PHOENIX WELLNESS & COUNSELING, INC (NPI 1831040005) is a healthcare organization registered as a clinical in Round Lake, Illinois and active in the NPI registry since February 2026. The organization lists Mariya Blue, Mental Health Therapist/president, as its authorized official.

NPPES Registry Identity

NPI1831040005
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLUE PHOENIX WELLNESS & COUNSELING, INC
Location Address24586 W OAK STRound Lake, IL 60073-1428
Mailing Address24586 W Oak StRound Lake, IL 60073-1428
Organization SubpartNo
Authorized OfficialMariya BlueMental Health Therapist/president · (224) 250-1228
Enumeration DateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
NPI 1831040005 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.
24586 W OAK ST, Round Lake, IL 60073

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

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 Blue Phoenix Wellness & Counseling, Inc's NPI number?

The NPI number for Blue Phoenix Wellness & Counseling, Inc is 1831040005. It was assigned to this organization in the NPPES registry on February 4, 2026.

Where is Blue Phoenix Wellness & Counseling, Inc located?

Blue Phoenix Wellness & Counseling, Inc is located at 24586 W Oak St, Round Lake, IL 60073. The listed phone number is (224) 250-1228.

What is Blue Phoenix Wellness & Counseling, Inc'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 Blue Phoenix Wellness & Counseling, Inc was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.