OrganizationActive
Self Connected Therapy LLC
NPI 1013521301 · Adult Mental Health Clinic/Center · Round Lake Beach, IL
Provider details
- NPI number
- 1013521301
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ashley Grob, Therapist(847) 942-7849
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2189 N. Rt. 83
#292
Round Lake Beach, IL 60073
Phone: (847) 942-7849
Street-level locationGet directions
Mailing address
2189 N. Rt. 83
Round Lake Beach, IL 60073
Registry dates
- Enumerated
- 2020-09-03
- Last updated
- 2020-09-03
- Certified
- 2020-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.