Individual provider Active NPI

Laura Swayne, PSY.D.

  • Mental Health Counselor
  • Joliet, IL
National Provider Identifier
1104430198
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.013099 Issued in IL
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

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205003658 IL Practitioner - Mental Health Counselor 2062855208 Reassigns benefits to 2 organizations

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 ServiceGroup PAC ID 6507762580, shared by 2 NPIs, 7 clinicians

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

LicenseStateTypeSpecialty
180.013099ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Forest Psychological Service Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Oak Forest Psychological Service Mental Health CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.