Active NPI
Lara Daniels, MS, CRC, LPC
- Mental Health Counselor
- St Charles, IL
National Provider Identifier
1174406763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.021595
- Practice address
- 619 W Main St Ste D
St Charles, IL 60174-1740 - Phone
- (815) 477-4727
- NPI assigned
- Jul 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 697529 | IL | |
| Mental Health Counselor | 101YM0800X | 178.021595 | IL | Primary |
Addresses
Primary practice location
619 W Main St Ste D
St Charles, IL 60174-1740
Mailing address
185 Heritage Dr
Crystal Lake, IL 60014-8068
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.021595 | IL | MD | Mental Health Counselor |
| 697529 | IL | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1174406763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 HERITAGE DR",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600148068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 W MAIN ST STE D",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741740",
"telephone_number": "815-477-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "LARA",
"credential": "MS, CRC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-30",
"last_updated": "2025-07-30",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "IL",
"license": "697529",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.021595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.