Active NPI
Lisa Dineen Vinson, PHD
- Counselor
- Schaumburg, IL
National Provider Identifier
1215798574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180012141
- Practice address
- 1051 Perimeter Dr Ste 700
Schaumburg, IL 60173-5855 - Phone
- (800) 693-1916
- NPI assigned
- Jan 23, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180012141 | IL | Primary |
Addresses
Primary practice location
1051 Perimeter Dr Ste 700
Schaumburg, IL 60173-5855
Mailing address
1101 E Grand Ave Apt X2
Carbondale, IL 62901-3516
Phone (773) 574-6556
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1215798574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E GRAND AVE APT X2",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013516",
"telephone_number": "773-574-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 PERIMETER DR STE 700",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735855",
"telephone_number": "800-693-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "LISA",
"middle_name": "DINEEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "IL",
"license": "180012141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.