Individual provider Active NPI

Lauren Theresa Rzepka, MA

  • Marriage & Family Therapist
  • Arlington Heights, IL
National Provider Identifier
1053745406
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001188 Issued in IL
Practice address
737 S Vail Ave
Arlington Heights, IL 60005-2537
Phone
(630) 302-1203
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166001188 IL Primary

Addresses

Primary practice location

737 S Vail Ave
Arlington Heights, IL 60005-2537

Mailing address

737 S Vail Ave
Arlington Heights, IL 60005-2537
Phone (630) 302-1203

Other practice location 1

819 Busse Hwy
Park Ridge, IL 60068-2360
Phone (847) 696-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
166001188ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Center, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1053745406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 S VAIL AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052537",
            "telephone_number": "630-302-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S VAIL AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052537",
            "telephone_number": "630-302-1203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 Busse Hwy",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600682360",
            "country_code": "US",
            "telephone_number": "847-696-1570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RZEPKA",
        "first_name": "LAUREN",
        "middle_name": "THERESA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.