Healthcare Provider Details

I. General information

NPI: 1508732264
Provider Name (Legal Business Name): MIND COLLECTIVE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 E BUTTERFIELD RD STE 310-03
LOMBARD IL
60148-5618
US

IV. Provider business mailing address

477 E BUTTERFIELD RD STE 310-03
LOMBARD IL
60148-5618
US

V. Phone/Fax

Practice location:
  • Phone: 773-242-7445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SCHERMERHORN
Title or Position: PSYCHOTHERAPIST
Credential: LCPC
Phone: 773-242-7445