Active NPI
Laura Swayne, PSY.D.
- Mental Health Counselor
- Joliet, IL
National Provider Identifier
1104430198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.013099
- Practice address
- 418 Jessie St
Joliet, IL 60433-2150 - Phone
- (815) 735-9881
- NPI assigned
- Sep 7, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.013099 | IL | Primary |
Addresses
Primary practice location
418 Jessie St
Joliet, IL 60433-2150
Mailing address
418 Jessie St
Joliet, IL 60433-2150
Phone (815) 735-9881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oak Forest Psychological Service
Practice addresses (Care Compare)
6502 Joliet Rd
Countryside, IL 60525-4682
Phone (708) 215-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.013099 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Forest Psychological Service | Mental Health | Current | Accepting new patients |
| Oak Forest Psychological Service | Mental Health | Current | Accepting new patients |
Locations
160 W 10th St
Chicago Hts, IL 60411
Phone (708) 754-2220
6502 Joliet Rd
Countryside, IL 60525
Phone (708) 215-8400
6502 Joliet Rd
Fl 2
Countryside, IL 60525
Phone (708) 215-8400
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1104430198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 JESSIE ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604332150",
"telephone_number": "815-735-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 JESSIE ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604332150",
"telephone_number": "815-735-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAYNE",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-07",
"last_updated": "2020-09-07",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.013099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.