Active NPI
Andrea Rose Lampley
- Addiction (Substance Use Disorder) Counselor
- Chicago, IL
National Provider Identifier
1215464714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 19938
- Practice address
- 1207 W Leland Ave
Chicago, IL 60640-7043 - Phone
- (773) 334-7117
- Fax
- (773) 033-4072
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19938 | IL | Primary |
Addresses
Primary practice location
1207 W Leland Ave
Chicago, IL 60640-7043
Mailing address
3500 S Lake Park Ave
Chicago, IL 60653-1460
Phone (773) 573-7501
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 |
|---|---|---|---|
| 19938 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1215464714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 S LAKE PARK AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606531460",
"telephone_number": "773-573-7501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 W LELAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407043",
"telephone_number": "773-334-7117",
"fax_number": "773-033-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMPLEY",
"first_name": "ANDREA",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "19938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.