Mind Lodge
NPI 1639933732 · Mental Health Counselor · Plainfield, IL
Mind Lodge is a Mental Health Counselor organization in Plainfield, IL (NPI 1639933732).
Provider details
- NPI number
- 1639933732
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Angela Olson, Owner and Clinical Therapist(815) 200-1099
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Mailing address
Additional practice locations (4)
- 24014 W Renwick RdSte 103Plainfield, IL 60544Phone: (815) 200-1130
- 13855 S Petersburg DrPlainfield, IL 60544-7078Phone: (815) 517-8467
- 24014 W Renwick Rd Ste 100-12Plainfield, IL 60544-8708Phone: (815) 200-1099
- 24014 W Renwick Rd Unit 3Plainfield, IL 60544-8708Phone: (815) 200-1099
Registry dates
- Enumerated
- 2024-02-08
- Last updated
- 2025-11-07
- Certified
- 2025-11-07
Frequently asked questions
- What is Mind Lodge's NPI number?
- Mind Lodge's National Provider Identifier (NPI) is 1639933732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind Lodge?
- Mind Lodge is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Mind Lodge located?
- Mind Lodge's practice location on file with NPPES is 24014 W Renwick Rd Ste 105-5, Plainfield, IL 60544-8708.
- What is Mind Lodge's phone number?
- The practice phone number listed in the NPPES registry for Mind Lodge is (815) 200-1099.
- Who is the authorized official for Mind Lodge?
- The authorized official listed on Mind Lodge's NPPES record is Angela Olson, Owner and Clinical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind Lodge's NPI active?
- Yes — Mind Lodge's NPI (1639933732) is active in the NPPES registry as of the last update on 2025-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.