Madeline Lag

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2400 N Ashland Ave Ste 174
Chicago, IL 60614-0851

Phone

(773) 270-5600

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urban Summit Psychotherapy PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1679207682
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1336870351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W ROSCOE ST APT 502",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573652",
            "telephone_number": "630-777-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ASHLAND AVE STE 174",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140851",
            "telephone_number": "773-270-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAG",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "address_1": "2400 N Ashland Ave Ste 174",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606140851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Magdala Danielle Lafontant, D.P.M
• Amy Lafoon Wilde, L.C.S.W.
• Laurel Laforce, LCSW CADC
• John Paul Laforte, PHARM.D.
• Jennifer Lafser
• Carmela Lagambina-Lockwitz
• Mary Lagana
• Carolyn Kelly Lagattuta, DO
• Kaye Lagdaan, D.P.M
• Nehal M Lagdiwala

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.