Individual provider Active NPI

Lori Ann Henehan, LPC

  • Professional Counselor
  • Normal, IL
National Provider Identifier
1124765227
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.017791 Issued in IL
Practice address
706 Oglesby Ave Ste 300
Normal, IL 61761-4616
Phone
(309) 212-3606
Fax
(312) 789-4373
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.017791 IL Primary

Addresses

Primary practice location

706 Oglesby Ave Ste 300
Normal, IL 61761-4616

Mailing address

706 Oglesby Ave Ste 300
Normal, IL 61761-4616
Phone (309) 212-3606

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
I20240507004395 IL Practitioner - Mental Health Counselor 6406297563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Elliott Counseling Services LLCGroup PAC ID 2264709690, 4 clinicians

Practice addresses (Care Compare)

706 Oglesby Ave
Suite 300
Normal, IL 61761-4616
Phone (309) 212-3606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.017791ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elliott Counseling Services, LLC Professional CurrentSince Apr 23, 2024 Accepting new patients

Locations

706 Oglesby Ave
Ste 300
Normal, IL 61761
Phone (309) 212-3606

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.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1124765227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 OGLESBY AVE STE 300",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614616",
            "telephone_number": "309-212-3606",
            "fax_number": "312-789-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 OGLESBY AVE STE 300",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617614616",
            "telephone_number": "309-212-3606",
            "fax_number": "312-789-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEHAN",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.017791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.