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WAKEFUL PRACTICE
NPI 1851870406
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since August 13, 2018
4054 N LINCOLN AVE STE 2, CHICAGO, IL 60618(312) 625-3373 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2024, Apr 22, 2021, Dec 20, 2020 and 1 more (4 updates tracked since 2018).

About Wakeful Practice NPPES

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

WAKEFUL PRACTICE (NPI 1851870406) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since August 2018. The organization lists Amy B. Kallenberg, Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1851870406
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWAKEFUL PRACTICE, LLC
Location Address4054 N LINCOLN AVE STE 2Chicago, IL 60618-3144
Mailing Address4018 N Lawler AveChicago, IL 60641-1733 · (312) 625-3373
Phone(312) 625-3373
Organization SubpartNo
Authorized OfficialAmy B. KallenbergOwner/psychotherapist · (312) 625-3373
Enumeration DateAugust 13, 2018
Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1851870406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4054 N LINCOLN AVE STE 2, Chicago, IL 60618
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Other Names 1

Doing Business AsWakeful Practice

Other Providers at the Same Location NPPES 4

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

ERICA STONE PSYCHOTHERAPY INC.
Social Worker (Clinical)
4054 N LINCOLN AVE STE 2
CHICAGO, IL 60618
Cook County (847) 284-0529
ERICA STONE LCSW
Social Worker (Clinical)
4054 N LINCOLN AVE STE 2
CHICAGO, IL 60618
Cook County (847) 284-0529
ROOT AND BRANCH PARENTHOOD
Clinic/Center (Mental Health (Including Community Mental Health Center))
4054 N LINCOLN AVE STE 2
CHICAGO, IL 60618
Cook County (123) 569-0437
AMY B. KALLENBERG LCSW
Social Worker (Clinical)
4054 N LINCOLN AVE STE 2
CHICAGO, IL 60618
Cook County (312) 625-3373

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 Wakeful Practice, LLC's NPI number?

The NPI number for Wakeful Practice, LLC is 1851870406. It was assigned to this organization in the NPPES registry on August 13, 2018. The provider is doing business as Wakeful Practice.

Where is Wakeful Practice, LLC located?

Wakeful Practice, LLC is located at 4054 N Lincoln Ave Ste 2, Chicago, IL 60618. The listed phone number is (312) 625-3373.

What is Wakeful Practice, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Wakeful Practice, LLC was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.