Organization Active NPI

Lotus Therapy Inc.

  • Clinical Social Worker
  • St Charles, IL
National Provider Identifier
1083218309
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LOTUS THERAPY INC.
Practice address
210 S 5TH St Ste 12
Saint Charles, IL 60174-2700
Phone
(630) 886-2638
NPI assigned
Nov 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Authorized official

Name
Rehna Suzanne Becker, LCSWNPI 1730538810
Title
President
Phone
(630) 414-8647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

210 S 5TH St Ste 12
Saint Charles, IL 60174-2700

Mailing address

116 Lewis LN
Wheaton, IL 60189-7420
Phone (630) 886-2638

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647043200000",
    "number": "1083218309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 LEWIS LN",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897420",
            "telephone_number": "630-886-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 5TH ST STE 12",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601742700",
            "telephone_number": "630-886-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "REHNA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-414-8647",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.