Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Phoenix Wellness & Counseling, Inc

Organization Clinical Social Worker · NPI 1831040005

Blue Phoenix Wellness & Counseling, Inc is a Clinical Social Worker in Round Lake, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24586 W Oak St
Round Lake, IL 60073-1428
Phone: (224) 250-1228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1831040005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariya Blue — Mental Health Therapist/President · (224) 250-1228
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address24586 W Oak St, Round Lake, IL 60073-1428

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