Active NPI
Lauren Key, ED.S., NCSP
- School Psychologist
- Joliet, IL
National Provider Identifier
1104389725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1126873
- Practice address
- 420 N Raynor Ave
Joliet, IL 60435-6065 - Phone
- (815) 740-3196
- NPI assigned
- Apr 10, 2019
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1126873 | IL | Primary |
Addresses
Primary practice location
420 N Raynor Ave
Joliet, IL 60435-6065
Mailing address
2061 Bunker Cir
Naperville, IL 60563-1893
Other names 1
- Lauren Buck
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1126873 | IL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joliet School District 86 | Past | 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.
-
- Local Education Agency (LEA)
- Joliet, IL
- NPI 1104947704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1104389725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 BUNKER CIR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N RAYNOR AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604356065",
"telephone_number": "815-740-3196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "LAUREN",
"credential": "ED.S., NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "1126873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "BUCK",
"credential": "ED.S., NCSP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.