Lisa Marie Sloka, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001560 Issued in IL

Practice address

12555 Farm Hill Dr Ste 500
Huntley, IL 60142-2504

Phone

(901) 205-9395

NPI assigned

Jul 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sloka Therapy Group PCGroup PAC ID 6204360720, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sloka Therapy Group PC

  • Marriage & Family Therapist
  • Crystal Lake, IL
  • NPI 1750114542
  Medicare reassignment Care Compare group NPD Authorized official
• Blair Counseling and Mediation PC

  • Professional Counselor
  • Crystal Lake, IL
  • NPI 1245479674

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1194458190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 MAGNOLIA LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566282",
            "telephone_number": "224-623-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 FARM HILL DR STE 500",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601422504",
            "telephone_number": "901-205-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Dakota St Ste B",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600123742",
            "country_code": "US",
            "telephone_number": "224-650-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOKA",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly Jean Smith, PHARM.D.
• Krystal Ann Smith
• Mohammad Asim Sohail, M.D.

• Marriage & Family Therapist in Huntley, IL
• Providers in Huntley, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.