Organization Active NPI

Lakefront Therapy LLC

  • Mental Health Counselor
  • Elmhurst, IL
National Provider Identifier
1104618198
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LAKEFRONT THERAPY LLC
Practice address
120 N York St Ste 202
Elmhurst, IL 60126-2827
Phone
(630) 244-5299
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Jasmin Demarco, LCPCNPI 1073005690
Title
Owner
Phone
(630) 244-5299

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

120 N York St Ste 202
Elmhurst, IL 60126-2827

Mailing address

120 N York St Ste 202
Elmhurst, IL 60126-2827
Phone (630) 244-5299

National Provider Directory

National Provider Directory

Locations

120 N York St
Ste 202
Elmhurst, IL 60126
Phone (630) 244-5299

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": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1104618198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N YORK ST STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262827",
            "telephone_number": "630-244-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N YORK ST STE 202",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262827",
            "telephone_number": "630-244-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEFRONT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-244-5299",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.