Jaclyn Laporte, MS, LCPC – Professional Counselor

Key facts

NPI: 1154954907
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
Practice address: 3 Friendship PLZ
Addison, IL 60101-2787
Phone: (630) 384-9733
NPI assigned: Feb 20, 2020
Sex: Female
Sole proprietor: Yes

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.

Northeast Dupage Family and Youth Services Community/Behavioral Health Agency · Addison, IL · NPI 1710225487

NPD (past) PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Science

Practice roles

Organization	Specialty	Status	New patients
Northeast Dupage Family and Youth Services	Professional	Past since Feb 23, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X			Yes

Addresses

Primary practice location

3 Friendship PLZ
Addison, IL 60101-2787

Mailing address

3 Friendship PLZ
Addison, IL 60101-2787

Other identifiers

Identifier	Type	State	Issuer
000	Other		PRIVATE INSURANCE

Electronic endpoints

Type	Endpoint	Use	Affiliation
Other URL	Addison
CONNECT URL	Addison

Other providers in Addison, IL

All providers in Addison, IL · Professional Counselor in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.