Individual provider Active NPI

Lisa Cotler, LPC

  • Mental Health Counselor
  • Northbrook, IL
National Provider Identifier
1073155123
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178015192 Issued in IL
Practice address
1535 Lake Cook Rd Ste 111
Northbrook, IL 60062-1450
Phone
(847) 498-4744
Fax
(847) 498-4811
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178015192 IL
Professional Counselor 101YP2500X 178015192 IL
Mental Health Counselor 101YM0800X 178015192 IL Primary

Addresses

Primary practice location

1535 Lake Cook Rd Ste 111
Northbrook, IL 60062-1450

Mailing address

1535 Lake Cook Rd Ste 111
Northbrook, IL 60062-1450
Phone (847) 498-4744

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

State licenses

LicenseStateTypeSpecialty
178015192ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Cotler Et Al PTR North Shore Consultation Center PastSince Oct 13, 2019 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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1073155123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 111",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621450",
            "telephone_number": "847-498-4744",
            "fax_number": "847-498-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 111",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621450",
            "telephone_number": "847-498-4744",
            "fax_number": "847-498-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTLER",
        "first_name": "LISA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178015192",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178015192",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178015192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.