Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mosaic Therapy Inc

Organization Professional Counselor · NPI 1215212972

Mosaic Therapy Inc provides Professional Counselor services in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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

4700 Old Orchard Rd Apt 211
Skokie, IL 60076-1061 Not confirmed with CMS for 15 years — call before visiting
Phone: (312) 799-9351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180007758 (IL)

Record details

NPI number1215212972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Vyazovsky — President · (312) 799-9351
NPI enumeratedOctober 13, 2011
Last updated in NPPESOctober 13, 2011
Mailing address4700 Old Orchard Rd, Apt 211, Skokie, IL 60076-1061

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