Lisa Medanic Counseling, LTD.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LISA MEDANIC COUNSELING, LTD.

Practice address

29W120 Butterfield Rd Ste 104a
Warrenville, IL 60555-2830

Phone

(630) 393-4019

Fax

(630) 904-9871

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Lisa C. Medanic, M.S.NPI 1194799312

Title

President

Phone

(630) 393-4019

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lisa C. Medanic, L.C.P.C.

  • Professional Counselor
  • Warrenville, IL
  • NPI 1194799312
  NPD (past) Authorized official

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1275716136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3126 CRYSTAL ROCK RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648241",
            "telephone_number": "630-393-4019",
            "fax_number": "630-904-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29W120 BUTTERFIELD RD STE 104A",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552830",
            "telephone_number": "630-393-4019",
            "fax_number": "630-904-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MEDANIC COUNSELING, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "MEDANIC",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-393-4019",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Edward Lemon, PH.D.
• Janet Levitt, MA, LCPC
• Jan Cathy Licht, MA, LCPC, CADC
• Juan Limon
• Mary Ling, MD
• Lisan Speech, Swallow, & Voice Therapy PLLC
• Little Byrdies, LLC
• Little Friends
• Little Friends, Inc.
• Livcentered Therapy Group PLLC

• Mental Health Counselor in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.