Organization Active NPI

Lisa a Koehler LCSW LLC

  • Community/Behavioral Health Agency
  • Geneva, IL
National Provider Identifier
1174013064
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149007312 Issued in IL
Legal business name
LISA A KOEHLER LCSW LLC
Practice address
115 Campbell St Ste 101
Geneva, IL 60134-2785
Phone
(630) 360-8416
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Authorized official

Name
Lisa A Koehler, LLC
Title
Therapist
Phone
(630) 360-8416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 149007312 IL Primary

Addresses

Primary practice location

115 Campbell St Ste 101
Geneva, IL 60134-2785

Mailing address

115 Campbell St Ste 101
Geneva, IL 60134-2785
Phone (630) 360-8416

National Provider Directory

National Provider Directory

Locations

115 Campbell St
Ste 101
Geneva, IL 60134
Phone (630) 360-8416

324 W State St
Ste 108
Geneva, IL 60134
Phone (630) 360-8416

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1174013064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CAMPBELL ST STE 101",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342785",
            "telephone_number": "630-360-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CAMPBELL ST STE 101",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342785",
            "telephone_number": "630-360-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA A KOEHLER LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "630-360-8416",
        "authorized_official_credential": "LLC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149007312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.