Lauren Czochara, LCPC
Individual provider Active NPI Mental Health Counselor · Midlothian, IL
NPI 1184757239 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1184757239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4500 147TH St
Midlothian, IL 60445-2646 - Phone
- (708) 597-0032
- Fax
- (708) 597-0649
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-005811 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Counseling, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Yes |
Addresses
Primary practice location
4500 147TH St
Midlothian, IL 60445-2646
Mailing address
4500 147TH St
Midlothian, IL 60445-2646
Phone (708) 597-0032
Other providers in Midlothian, IL
- Shannon Clancy
- Stephanie Clifton
- Confidential Crisis Consultation Inc
- Brenna Maureen Conlon
- Cope Optometrics, Inc
- Teresa Dixon-Jones
- Nicole Mae Dubin
- Craig Martin Feenstrq
- First Home Health Care Services
- First Home Healthcare Services
All providers in Midlothian, IL · Mental Health 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 Jul 8, 2007. 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.