Insideout Living Inc II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-007-044 Issued in IL

Legal business name

INSIDEOUT LIVING INC II

Practice address

1618 Orrington Ave Ste 311
Evanston, IL 60201-5016

Phone

(847) 868-6783

NPI assigned

May 14, 2018

Organization subpart

No

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

Authorized official

Name

Lisa Lackey, M.A.,LCPC,CSAT,CMATNPI 1043335680

Title

Chief Engagement Officer

Phone

(847) 328-7588

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Lackey, MS, LCPC,CSAT,CMAT

  • Professional Counselor
  • Evanston, IL
  • NPI 1043335680
  NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1205326303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 ORRINGTON AVE STE 311",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015016",
            "telephone_number": "847-868-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 ORRINGTON AVE STE 311",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015016",
            "telephone_number": "847-868-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDEOUT LIVING INC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "LACKEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF ENGAGEMENT OFFICER",
        "authorized_official_telephone_number": "847-328-7588",
        "authorized_official_credential": "M.A.,LCPC,CSAT,CMAT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-007-044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.