Kelly Laporte, M.A, L.P.C., C.A.D.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.007762 Issued in IL

Practice address

36 Main St
Suite 106
Park Ridge, IL 60068-4059

Phone

(708) 601-1185

Fax

(888) 440-2577

NPI assigned

Dec 14, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 31, 2024 through Jan 31, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Naperville Counseling Center

  • Professional Counselor
  • Naperville, IL
  • NPI 1659962777
  NPD Authorized official
• Park Ridge Psychological Services, LTD

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1366557977
  NPD (past)

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1235408618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "address_2": "SUITE 106",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684059",
            "telephone_number": "708-601-1185",
            "fax_number": "888-440-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "address_2": "SUITE 106",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684059",
            "telephone_number": "708-601-1185",
            "fax_number": "888-440-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPORTE",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "M.A, L.P.C., C.A.D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.007762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Elizabeth Lane, AUD
• Mikayla Lang, PHARM.D.
• Lloyd William Lange, DDS
• Christine Marie Langfield, APRN-FNP-C
• Tracie Denise Lanier, LCSW
• Ronald A Lapporte, PH.D.
• Leigh Katherine Larocco, PA-C
• Anneelyse Larsen, DPT
• Kirsten Larson, M.ED
• Alexa A Laskaris, DDS

• Professional Counselor in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.