Individual provider Active NPI

Lisa Maria Nardi, LCPC

  • Professional Counselor
  • Orland Park, IL
National Provider Identifier
1073662623
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006980 Issued in IL
Practice address
15020 S Ravinia Ave
Suite 29
Orland Park, IL 60462-3166
Phone
(708) 873-9059
Fax
(708) 428-4504
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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
180006980ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Martins Adeoye, LLC Past Accepting new patients
Jody Reed, SC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180006980 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

15020 S Ravinia Ave
Suite 29
Orland Park, IL 60462-3166

Mailing address

15020 S Ravinia Ave
Suite 29
Orland Park, IL 60462-3166
Phone (708) 873-9059

Other names 1

NPPES NPI Registry
  • Mrs. Lisa M McLearen Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2009.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1073662623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15020 S RAVINIA AVE",
            "address_2": "SUITE 29",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623166",
            "telephone_number": "708-873-9059",
            "fax_number": "708-428-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15020 S RAVINIA AVE",
            "address_2": "SUITE 29",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623166",
            "telephone_number": "708-873-9059",
            "fax_number": "708-428-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDI",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MCLEAREN",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.