Life Impact Circles of Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE IMPACT CIRCLES OF WELLNESS

Practice address

376 Highknob Rd
Bolingbrook, IL 60440-3268

Phone

(312) 561-4292

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Cook, DRPH, LCPC, LPCCNPI 1487089041

Title

Practice Owner/Sole Therapyprovider

Phone

(312) 561-4292

Specialties & licenses 2

Addresses

Practitioners 1

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

• Lisa Cook, DRPH, LCPC, LPCC

  • Mental Health Counselor
  • Bolingbrook, IL
  • NPI 1487089041
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1326861907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W BOUGHTON RD # 146",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401508",
            "telephone_number": "312-561-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 HIGHKNOB RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403268",
            "telephone_number": "312-561-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IMPACT CIRCLES OF WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE OWNER/SOLE THERAPYPROVIDER",
        "authorized_official_telephone_number": "312-561-4292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH, LCPC, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Jane Lezondra, O.D.
• Tehming Liang, M.D.,PHD.
• Liberty Mobile Labs Inc
• Allan J Libunao, DDS
• Jefferson James Mahinay Licup, OTR/L
• Adam Michael Likavec, MD
• Michael Likens
• Alena Limthongviratn, LSW, MSW
• Jesenia Linarez, LCPC
• Karen S Lindenmeyer, LCPC

• Mental Health Counselor in Bolingbrook, IL
• Providers in Bolingbrook, 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 Nov 4, 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.