OrganizationActive
Collaborative Counseling Group of Illinois PLLC
NPI 1730810318 · Clinical Social Worker · Mundelein, IL
Provider details
- NPI number
- 1730810318
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Damien Jackson, Owner(224) 766-9993
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
201 Maplewood Ave
Mundelein, IL 60060-4129
Phone: (847) 807-5622
Street-level locationGet directions
Mailing address
1 N Oplaine Rd Unit 114
Gurnee, IL 60031-0804
Registry dates
- Enumerated
- 2022-06-23
- Last updated
- 2022-06-23
- Certified
- 2022-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.