Active NPI
Laura Strong LLC
- Community/Behavioral Health Agency
- Crystal Lake, IL
National Provider Identifier
1255729935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 071.008954
- Legal business name
- LAURA STRONG LLC
- Practice address
- 8600 US Highway 14
Ste 105
Crystal Lake, IL 60012-2706 - Phone
- (847) 533-5905
- NPI assigned
- Jan 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laura Strong, PSYD
- Title
- Clinical Psychologist
- Phone
- (847) 533-5905
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 071.008954 | IL | Primary |
Addresses
Primary practice location
8600 US Highway 14
Ste 105
Crystal Lake, IL 60012-2706
Mailing address
8600 US Highway 14
Ste 105
Crystal Lake, IL 60012-2706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8600 US Highway 14
Ste 105
Crystal Lake, IL 60012
Phone (815) 307-6056
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Crystal Lake, IL
- NPI 1740678754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420156800000",
"number": "1255729935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 US HIGHWAY 14",
"address_2": "STE 105",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600122706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 US HIGHWAY 14",
"address_2": "STE 105",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600122706",
"telephone_number": "847-533-5905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA STRONG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A",
"authorized_official_last_name": "STRONG",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "847-533-5905",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "071.008954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.