Active NPI
Lisa Michelle Kohut, ED.D, ED.S, M.ED,
- Professional Counselor
- Mount Prospect, IL
National Provider Identifier
1245648708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.005444
- Practice address
- 800 E Northwest Hwy
Ste 106
Mount Prospect, IL 60056-3457 - Phone
- (847) 845-2092
- Fax
- (847) 299-4952
- NPI assigned
- Jul 29, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 180.005444 | IL | |
| Pastoral Counselor | 101YP1600X | 180.005444 | IL | |
| Professional Counselor | 101YP2500X | 180.005444 | IL | Primary |
Addresses
Primary practice location
800 E Northwest Hwy
Ste 106
Mount Prospect, IL 60056-3457
Mailing address
571 Jennifer Cir
Mundelein, IL 60060-4111
Phone (847) 845-2092
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.005444 | IL | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1245648708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 JENNIFER CIR",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600604111",
"telephone_number": "847-845-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E NORTHWEST HWY",
"address_2": "STE 106",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600563457",
"telephone_number": "847-845-2092",
"fax_number": "847-299-4952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHUT",
"first_name": "LISA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "ED.D, ED.S, M.ED,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-29",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "180.005444",
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "IL",
"license": "180.005444",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.005444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.