Healthcare Provider Details

I. General information

NPI: 1124953062
Provider Name (Legal Business Name): THE MINDFUOL METHOD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S WASHINGTON AVE STE 202
PARK RIDGE IL
60068-4293
US

IV. Provider business mailing address

275 OAK CREEK DR APT 407
WHEELING IL
60090-6734
US

V. Phone/Fax

Practice location:
  • Phone: 224-279-1060
  • Fax:
Mailing address:
  • Phone: 224-279-1060
  • 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: ALISON ALI MAYER MAYER
Title or Position: OWNER/THERAPIST
Credential: LCPC
Phone: 224-279-1060