Individual provider Active NPI

Laura Genslinger, M. EDS

  • School Psychologist
  • Lemont, IL
National Provider Identifier
1316602758
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1883175 Issued in IL
Practice address
10 Meagan LN
Lemont, IL 60439-4496
Phone
(708) 903-9978
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1883175 IL Primary

Addresses

Primary practice location

10 Meagan LN
Lemont, IL 60439-4496

Mailing address

10 Meagan LN
Lemont, IL 60439-4496
Phone (708) 903-9978

Other names 1

  • Laura Aggen Former name

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

LicenseStateTypeSpecialty
1883175ILMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1316602758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MEAGAN LN",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394496",
            "telephone_number": "708-903-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEAGAN LN",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394496",
            "telephone_number": "708-903-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSLINGER",
        "first_name": "LAURA",
        "credential": "M. EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1883175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "AGGEN",
            "credential": "M. EDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.