Active NPI
Lynett Marie Kopec-Mohr, ATR, LCPC
- Professional Counselor
- Wilmette, IL
National Provider Identifier
1356038848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180002646
- Practice address
- 3534 Lake Ave # 200
Wilmette, IL 60091-1063 - Phone
- (547) 386-6560
- NPI assigned
- Apr 24, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180002646 | IL | Primary |
Addresses
Primary practice location
3534 Lake Ave # 200
Wilmette, IL 60091-1063
Mailing address
9036 Mansfield Ave
Morton Grove, IL 60053-2441
Phone (847) 682-8386
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 |
|---|---|---|---|
| 180002646 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1356038848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9036 MANSFIELD AVE",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532441",
"telephone_number": "847-682-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3534 LAKE AVE # 200",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911063",
"telephone_number": "547-386-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPEC-MOHR",
"first_name": "LYNETT",
"middle_name": "MARIE",
"credential": "ATR, LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-24",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180002646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.