Active NPI
Litzi T Hartley, LCPC
- Professional Counselor
- Naperville, IL
National Provider Identifier
1073719407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-005639
- Practice address
- 114 E Van Buren Ave
Naperville, IL 60540-5183 - Phone
- (630) 618-9872
- Fax
- (630) 428-9312
- NPI assigned
- Jun 22, 2007
- Last updated
- Sep 26, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180-005639 | IL | Primary |
Addresses
Primary practice location
114 E Van Buren Ave
Naperville, IL 60540-5183
Mailing address
PO Box 5818
114 E. Van Buren Ave.
Naperville, IL 60567-5818
Phone (630) 618-9872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2232737 | Other | IL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-005639 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1073719407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5818",
"address_2": "114 E. VAN BUREN AVE.",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605675818",
"telephone_number": "630-618-9872",
"fax_number": "630-428-9312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E VAN BUREN AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405183",
"telephone_number": "630-618-9872",
"fax_number": "630-428-9312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "LITZI",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-005639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2232737",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.