Active NPI
Lauren Robyn Madon, MSW
- Counselor
- Ottawa, IL
National Provider Identifier
1265050074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 150102557
- Practice address
- 424 W Madison St
Ottawa, IL 61350-2833 - Phone
- (815) 433-3953
- Fax
- (815) 433-3980
- NPI assigned
- Jul 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 150102557 | IL | Primary |
Addresses
Primary practice location
424 W Madison St
Ottawa, IL 61350-2833
Mailing address
424 W Madison St
Ottawa, IL 61350-2833
Phone (815) 433-3953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07012020 | Other | IL | EMPLOYEE ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150102557 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1265050074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 W MADISON ST",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613502833",
"telephone_number": "815-433-3953",
"fax_number": "815-433-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 W MADISON ST",
"city": "OTTAWA",
"state": "IL",
"postal_code": "613502833",
"telephone_number": "815-433-3953",
"fax_number": "815-433-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADON",
"first_name": "LAUREN",
"middle_name": "ROBYN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "150102557",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE ID",
"identifier": "07012020",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.