Active NPI
Lisa Lucchese, LPC
- Professional Counselor
- Grayslake, IL
National Provider Identifier
1174953012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178004946
- Practice address
- 997 N Corporate Cir
Grayslake, IL 60030-7822 - Phone
- (847) 868-3435
- Fax
- (847) 859-5885
- NPI assigned
- Nov 13, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178004946 | IL | Primary |
Addresses
Primary practice location
997 N Corporate Cir
Grayslake, IL 60030-7822
Mailing address
175 E Hawthorn Pkwy
Suite 235
Vernon Hills, IL 60061-1463
Phone (847) 868-3435
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178004946 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1174953012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 E HAWTHORN PKWY",
"address_2": "SUITE 235",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611463",
"telephone_number": "847-868-3435",
"fax_number": "847-859-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 N CORPORATE CIR",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307822",
"telephone_number": "847-868-3435",
"fax_number": "847-859-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCHESE",
"first_name": "LISA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178004946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.