Individual provider Active NPI

Lauren Elizabeth Holt, LCPC

  • Professional Counselor
  • La Salle, IL
National Provider Identifier
1174027148
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.008053 Issued in IL
Practice address
2428 Chartres St
La Salle, IL 61301-1107
Phone
(309) 830-1096
NPI assigned
Mar 22, 2018
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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 180.008053 IL Primary

Addresses

Primary practice location

2428 Chartres St
La Salle, IL 61301-1107

Mailing address

2428 Chartres St
La Salle, IL 61301-1107
Phone (309) 830-1096

Other names 1

  • Lauren Elizabeth Schmidt Former name

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
I20240515001376 IL Practitioner - Mental Health Counselor 4284075763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Balance Counseling and Wellness IncGroup PAC ID 8325397904, 9 clinicians

Practice addresses (Care Compare)

2218 Marquette Rd
Peru, IL 61354-1538
Phone (815) 780-8765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Balance Counseling and Wellness Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

2428 Chartres St
La Salle, IL 61301
Phone (309) 830-1096

2218 Marquette Rd
Peru, IL 61354
Phone (815) 223-7970

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1174027148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 CHARTRES ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613011107",
            "telephone_number": "309-830-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 CHARTRES ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613011107",
            "telephone_number": "309-830-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SCHMIDT",
            "middle_name": "ELIZABETH",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Salle, IL

Sources for this page

Verify at the official NPI Registry.