Individual provider Active NPI

Lawrence Magnus Tornquist, EDD

  • Mental Health Counselor
  • Palatine, IL
National Provider Identifier
1225236060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
675 North Court
Suite 310
Palatine, IL 60067-8106
Phone
(847) 520-7523
Fax
(847) 803-2559
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

675 North Court
Suite 310
Palatine, IL 60067-8106

Mailing address

675 North Court
Suite 310
Palatine, IL 60067-8106
Phone (847) 520-7523

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

LicenseStateTypeSpecialty
180000114ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225236060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 NORTH COURT",
            "address_2": "SUITE 310",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678106",
            "telephone_number": "847-520-7523",
            "fax_number": "847-803-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 NORTH COURT",
            "address_2": "SUITE 310",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678106",
            "telephone_number": "847-520-7523",
            "fax_number": "847-803-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORNQUIST",
        "first_name": "LAWRENCE",
        "middle_name": "MAGNUS",
        "name_prefix": "Mr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.