NPIMap

Organization Active NPI

Lifespan Counseling and Psychological Services, LLP

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1255577359
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006882 Issued in IL
Legal business name
LIFESPAN COUNSELING AND PSYCHOLOGICAL SERVICES, LLP
Practice address
6645 North Ave
Upper Level
Oak Park, IL 60302-1057
Phone
(708) 386-5080
Fax
(708) 386-5099
NPI assigned
Dec 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Authorized official

Name
Mr. Orson Morrison, PSY.D.NPI 1548318314
Title
Clinical Psychologist Owner
Phone
(312) 307-6554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 071006882 IL Primary

Addresses

Primary practice location

6645 North Ave
Upper Level
Oak Park, IL 60302-1057

Mailing address

6645 North Ave
Upper Level
Oak Park, IL 60302-1057
Phone (708) 386-5080

National Provider Directory

National Provider Directory

Locations

137 N Oak Park Ave
Ste 218
Oak Park, IL 60301
Phone (630) 618-0942

6645 North Ave
Uppr
Oak Park, IL 60302
Phone (708) 386-5080

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1255577359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 NORTH AVE",
            "address_2": "UPPER LEVEL",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021057",
            "telephone_number": "708-386-5080",
            "fax_number": "708-386-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 NORTH AVE",
            "address_2": "UPPER LEVEL",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021057",
            "telephone_number": "708-386-5080",
            "fax_number": "708-386-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN COUNSELING AND PSYCHOLOGICAL SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-20",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ORSON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST OWNER",
        "authorized_official_telephone_number": "312-307-6554",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.