NPIMap

Organization Active NPI

Lifetime Behavioral Health, LLC

  • Professional Counselor
  • West Chicago, IL
National Provider Identifier
1326212770
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIFETIME BEHAVIORAL HEALTH, LLC
Practice address
550 E Washington St
Suite a
West Chicago, IL 60185-2228
Phone
(630) 525-0025
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Ms. Katherine A Walker, LCPC, NCCNPI 1013192699
Title
President, Owner
Phone
(630) 525-0025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X

Addresses

Primary practice location

550 E Washington St
Suite a
West Chicago, IL 60185-2228

Mailing address

550 E Washington St
Suite a
West Chicago, IL 60185-2228
Phone (630) 525-0025

Other names 1

  • LBH LLC Other name

National Provider Directory

National Provider Directory

Locations

550 E Washington St
Ste A
West Chicago, IL 60185
Phone (630) 292-8006

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1326212770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852228",
            "telephone_number": "630-525-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E WASHINGTON ST",
            "address_2": "SUITE A",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601852228",
            "telephone_number": "630-525-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "630-525-0025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LBH LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.