Mind Lodge
NPI 1639933732 · Mental Health Counselor · Plainfield, IL
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)
- 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
- 24014 W Renwick RdSte 103Plainfield, IL 60544Phone: (815) 200-1130
Registry dates
- Enumerated
- 2024-02-08
- Last updated
- 2025-11-07
- Certified
- 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.