Organization Active NPI

Laura Strong LLC

  • Community/Behavioral Health Agency
  • Crystal Lake, IL
National Provider Identifier
1255729935
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
071.008954 Issued in IL
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

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Dr. Laura Strong, PSYDNPI 1740678754
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20150306001201 IL Part B Supplier - Clinic/Group Practice 3173849304 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal Lake, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.