Active NPI
Lauren Tynes, LCPC
- Counselor
- Chicago, IL
National Provider Identifier
1326787672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180011620
- Practice address
- 2826 N Talman Ave Apt D
Chicago, IL 60618-7847 - Phone
- (414) 315-0145
- NPI assigned
- Jun 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180011620 | IL | Primary |
Addresses
Primary practice location
2826 N Talman Ave Apt D
Chicago, IL 60618-7847
Mailing address
2826 N Talman Ave Apt D
Chicago, IL 60618-7847
Phone (414) 315-0145
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180011620 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654128000000",
"number": "1326787672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 N TALMAN AVE APT D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187847",
"telephone_number": "414-315-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2826 N TALMAN AVE APT D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187847",
"telephone_number": "414-315-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYNES",
"first_name": "LAUREN",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2022-06-02",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180011620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.