Organization Active NPI

Lisa Demos LCPC and Associates, LLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1265822944
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005154 Issued in IL
Legal business name
LISA DEMOS LCPC AND ASSOCIATES, LLC
Practice address
1 E Superior St
Ste. 410
Chicago, IL 60611-2507
Phone
(773) 914-3284
NPI assigned
Feb 2, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Lisa Demos, LCPCNPI 1881700185
Title
Psychotherapist/Owner
Phone
(773) 914-3284

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180005154 IL Primary

Addresses

Primary practice location

1 E Superior St
Ste. 410
Chicago, IL 60611-2507

Mailing address

1 E Superior St
Ste. 410
Chicago, IL 60611-2507
Phone (773) 914-3284

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1265822944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E SUPERIOR ST",
            "address_2": "STE. 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112507",
            "telephone_number": "773-914-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E SUPERIOR ST",
            "address_2": "STE. 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112507",
            "telephone_number": "773-914-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA DEMOS LCPC AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "DEMOS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "773-914-3284",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.