Leatrice D Allen, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180003101 Issued in IL

Practice address

132 E 79TH St
Chicago, IL 60619-2302

Phone

(773) 487-0515

Fax

(773) 487-0525

NPI assigned

Sep 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Mental Health Counselor

Education

Other, 1980

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Elevation Counseling LLC 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevation Counseling, LLC

  • Psychiatric/Mental Health Registered Nurse
  • Albuquerque, NM
  • NPI 1831514520

  NM, Professional

  Medicare reassignment Care Compare group NPD
• Gilead Behavioral Health Services Inc

  • Pastoral Counselor
  • Chicago, IL
  • NPI 1093728867
  NPD (past)

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1124301932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16603 PAULINA ST",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604285849",
            "telephone_number": "708-333-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606192302",
            "telephone_number": "773-487-0515",
            "fax_number": "773-487-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LEATRICE",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "180003101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin L Allen, FNP, RN
• Krystal Allen, RN,BSN
• Kylee Jordan Allen
• Lamara Gayton Allen
• Laquesha Allen
• Leila Allen, B.C.B.A.
• Lindsay Diane Allen, WHNP
• Lindsey Allen
• Lisa Ann Allen, LCSW
• Madison Victoria Allen, DMD

• All providers in Chicago, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.

Verify at the official NPI Registry.