Individual provider Active NPI

Lauren Melamed, NCC, LCPC

  • Counselor
  • Chicago, IL
National Provider Identifier
1366794430
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
17 N Dearborn St
Chicago, IL 60602-4310
Phone
(312) 283-4490
NPI assigned
Oct 12, 2012
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Mental Health Counselor 101YM0800X 180012207 IL

Addresses

Primary practice location

17 N Dearborn St
Chicago, IL 60602-4310

Mailing address

5707 N Clark St Apt 3
Chicago, IL 60660-4076
Phone (954) 829-4799

Other practice location 1

1127 N Oakley Blvd
Chicago, IL 60622-3507
Phone (312) 770-3217

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

LicenseStateTypeSpecialty
180012207ILMDMental Health Counselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1366794430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 N CLARK ST APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604076",
            "telephone_number": "954-829-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024310",
            "telephone_number": "312-283-4490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 N Oakley Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606223507",
            "country_code": "US",
            "telephone_number": "312-770-3217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELAMED",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012207",
            "primary": false
        }
    ],
    "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 Jan 13, 2020; 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.