Organization Active NPI

Hope Counseling of Wauconda, P.C.

  • Professional Counselor
  • Island Lake, IL
National Provider Identifier
1306271192
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180007964 Issued in IL
Legal business name
HOPE COUNSELING OF WAUCONDA, P.C.
Practice address
115 E State Rd
Island Lake, IL 60042-9645
Phone
(847) 865-5103
NPI assigned
Sep 11, 2013
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Deb LehmannNPI 1265718241
Title
Owner/President
Phone
(224) 688-1865

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 180007964 IL Primary

Addresses

Primary practice location

115 E State Rd
Island Lake, IL 60042-9645

Mailing address

115 E State Rd
Island Lake, IL 60042-9645
Phone (847) 865-5103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301001460 IL Part B Supplier - Clinic/Group Practice 0143665042 Receives reassigned benefits from 1 practitioner
Practice locations: Island Lake, IL

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": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1306271192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E STATE RD",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429645",
            "telephone_number": "847-865-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E STATE RD",
            "city": "ISLAND LAKE",
            "state": "IL",
            "postal_code": "600429645",
            "telephone_number": "847-865-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE COUNSELING OF WAUCONDA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "LEHMANN",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "224-688-1865"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180007964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Island Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.