Organization Active NPI

Lotus Behavioral Health and Wellness, LLC

  • Adult Mental Health Clinic/Center
  • Highland Park, IL
National Provider Identifier
1033515796
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
071.007970 Issued in IL
Legal business name
LOTUS BEHAVIORAL HEALTH AND WELLNESS, LLC
Practice address
1910 1St St Ste 302
Highland Park, IL 60035-3146
Phone
(312) 420-6427
NPI assigned
Nov 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Megan Roehrig Tondu, PH.D.NPI 1326343344
Title
Owner
Phone
(312) 420-6427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 071.007970 IL Primary

Addresses

Primary practice location

1910 1St St Ste 302
Highland Park, IL 60035-3146

Mailing address

135 Montgomery LN
Glenview, IL 60025-4924
Phone (312) 420-6427

National Provider Directory

National Provider Directory

Locations

1910 1st St
Ste 302
Highland Park, IL 60035
Phone (312) 420-6427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1033515796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MONTGOMERY LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254924",
            "telephone_number": "312-420-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 1ST ST STE 302",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353146",
            "telephone_number": "312-420-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS BEHAVIORAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "TONDU",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "ROEHRIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-420-6427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "071.007970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.