| Life Redefined Clinical Counseling | |
|
2150 Manchester Rd Ste 110 Wheaton IL 60187-2474 | |
| (331) 264-5500 | |
| (331) 264-6219 |
| Full Name | Life Redefined Clinical Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 2150 Manchester Rd Ste 110, Wheaton, Illinois |
| Authorized Official Name and Position | Alexander James Goreham (OWNER) |
| Authorized Official Contact | 3312645500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Redefined Clinical Counseling 2150 Manchester Rd Ste 110 Wheaton IL 60187-2474 Ph: (331) 264-5500 | Life Redefined Clinical Counseling 2150 Manchester Rd Ste 110 Wheaton IL 60187-2474 Ph: (331) 264-5500 |
| NPI Number | 1346816402 |
|---|---|
| Provider Enumeration Date | 05/31/2021 |
| Last Update Date | 11/10/2025 |
| Certification Date | 11/10/2025 |
| Medicare PECOS PAC ID | 8820435084 |
|---|---|
| Medicare Enrollment ID | O20240322002956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346816402 | NPI | - | NPPES |
| 149018949 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | () | Secondary |
| 101YP2500X | Counselor - Professional | () | Secondary |
| 104100000X | Social Worker | () | Primary |
| Provider Name | Alexander Goreham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659751519 PECOS PAC ID: 3375819584 Enrollment ID: I20171016001511 |
| Provider Name | Catherine Schuurmann |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386498368 PECOS PAC ID: 7517452600 Enrollment ID: I20251216002837 |
| Provider Name | Margaret Spoelhof |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740908284 PECOS PAC ID: 8921585860 Enrollment ID: I20260122000217 |
| Provider Name | Amira N Mina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538829791 PECOS PAC ID: 1052880408 Enrollment ID: I20260515000371 |
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