Active NPI
Lauren Marie Benkoske, PHD
- Clinical Psychologist
- Lemont, IL
National Provider Identifier
1063922425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.010730
- Practice address
- 12936 Fairmont LN
Lemont, IL 60439-8951 - Phone
- (630) 337-8422
- NPI assigned
- Oct 11, 2017
- Last updated
- Mar 30, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071.010730 | IL | Primary |
Addresses
Primary practice location
12936 Fairmont LN
Lemont, IL 60439-8951
Mailing address
12936 Fairmont LN
Lemont, IL 60439-8951
Phone (630) 337-8422
Other names 1
- Lauren Marie Ostarello
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 13, 2023 through Feb 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.010730 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1063922425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12936 FAIRMONT LN",
"city": "LEMONT",
"state": "IL",
"postal_code": "604398951",
"telephone_number": "630-337-8422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12936 FAIRMONT LN",
"city": "LEMONT",
"state": "IL",
"postal_code": "604398951",
"telephone_number": "630-337-8422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENKOSKE",
"first_name": "LAUREN",
"middle_name": "MARIE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-11",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.010730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "OSTARELLO",
"middle_name": "MARIE",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lemont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.