NPIMap

Organization Active NPI

Forward Thinking Therapy, LTD

  • Clinical Psychologist
  • Dekalb, IL
National Provider Identifier
1366014805
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FORWARD THINKING THERAPY, LTD
Practice address
303 E Hillcrest Dr Ste 3
Dekalb, IL 60115-2476
Phone
(815) 269-5007
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Lauren Laake Devlieger, PHDNPI 1083186670
Title
Owner
Phone
(815) 269-5002

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

303 E Hillcrest Dr Ste 3
Dekalb, IL 60115-2476

Mailing address

303 E Hillcrest Dr Ste 3
Dekalb, IL 60115-2476
Phone (815) 269-5007

National Provider Directory

National Provider Directory

Locations

303 E Hillcrest Dr
Ste 3
DeKalb, IL 60115
Phone (815) 269-5002

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": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1366014805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E HILLCREST DR STE 3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152476",
            "telephone_number": "815-269-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E HILLCREST DR STE 3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152476",
            "telephone_number": "815-269-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD THINKING THERAPY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "LAAKE DEVLIEGER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-269-5002",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.