Jacob Kenneth Lagreca

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

L26243101090 Issued in IL

Practice address

2670 Fairfax LN
Lake in the Hills, IL 60156-6319

Phone

(224) 762-1934

NPI assigned

Jan 24, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1295597433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 FAIRFAX LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566319",
            "telephone_number": "224-762-1934",
            "fax_number": "111-111-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 FAIRFAX LN",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566319",
            "telephone_number": "224-762-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRECA",
        "first_name": "JACOB",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "L26243101090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Kronn
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• Margaret Kuria
• William Alfred Kurzbuch, D.C.
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• Douglas Ralph Langefeld, D.D.S.
• Erik Langner, APRN

• Mental Health Counselor in Lake in the Hills, IL
• Providers in Lake in the Hills, 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 Jan 24, 2024; 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.