Individual provider Active NPI

Erica Leibrandt, LCPC

  • Mental Health Counselor
  • Glenview, IL
National Provider Identifier
1235641119
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178013437 Issued in IL
Practice address
1247 Waukegan Rd Ste 103
Glenview, IL 60025-3057
Phone
(847) 657-9890
Fax
(847) 657-9891
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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 178013437 IL Primary

Addresses

Primary practice location

1247 Waukegan Rd Ste 103
Glenview, IL 60025-3057

Mailing address

1247 Waukegan Rd Ste 103
Glenview, IL 60025-3057
Phone (847) 657-9890

Other practice location 1

1 Briar Rd
Golf, IL 60029-2000
Phone (847) 998-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 14, 2024 through Nov 14, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178013437ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Mind Counseling CurrentSince Aug 9, 2020 Accepting new patients

Locations

1247 Waukegan Rd
Ste 103
Glenview, IL 60025
Phone (847) 361-0041

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1235641119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 WAUKEGAN RD STE 103",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253057",
            "telephone_number": "847-657-9890",
            "fax_number": "847-657-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 WAUKEGAN RD STE 103",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253057",
            "telephone_number": "847-657-9890",
            "fax_number": "847-657-9891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Briar Rd",
            "address_purpose": "LOCATION",
            "city": "Golf",
            "state": "IL",
            "postal_code": "600292000",
            "country_code": "US",
            "telephone_number": "847-998-8478",
            "fax_number": "847-657-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIBRANDT",
        "first_name": "ERICA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178013437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.