Active NPI
Lora Lea Biesenkamp, LCPC
- Professional Counselor
- Lombard, IL
National Provider Identifier
1033637038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.010452
- Practice address
- 350 W 22ND St Ste 101
Lombard, IL 60148-6449 - Phone
- (630) 882-2899
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.010452 | IL | Primary |
Addresses
Primary practice location
350 W 22ND St Ste 101
Lombard, IL 60148-6449
Mailing address
350 W 22ND St Ste 101
Lombard, IL 60148-6449
Phone (630) 882-2899
Other practice location 1
450 E 22nd St Ste 150-17
Lombard, IL 60148
Phone (630) 882-2899
Other practice location 2
21W124 Flamingo Ln
Lombard, IL 60148-5240
Phone (630) 343-2324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 1, 2024 through Nov 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.010452 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683072000000",
"number": "1033637038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W 22ND ST STE 101",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486449",
"telephone_number": "630-882-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W 22ND ST STE 101",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486449",
"telephone_number": "630-882-2899"
}
],
"practiceLocations": [
{
"address_1": "450 E 22nd St Ste 150-17",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "60148",
"country_code": "US",
"telephone_number": "630-882-2899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21W124 Flamingo Ln",
"address_purpose": "LOCATION",
"city": "Lombard",
"state": "IL",
"postal_code": "601485240",
"country_code": "US",
"telephone_number": "630-343-2324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIESENKAMP",
"first_name": "LORA",
"middle_name": "LEA",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.010452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.