Laura Ann Clay, L.C.P.C., A.T.R.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.008646 Issued in IL

Practice address

1440 Maple Ave Ste 2B
Lisle, IL 60532-4136

Phone

(630) 999-8236

NPI assigned

Jul 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Forward Emotion, LLC

  • Professional Counselor
  • Lisle, IL
  • NPI 1336634856
  NPD Authorized official

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1376985028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MAPLE AVE STE 2B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324136",
            "telephone_number": "630-999-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MAPLE AVE STE 2B",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324136",
            "telephone_number": "630-999-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "L.C.P.C., A.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.008646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Ann Chvatal, RD
• Mercedes Patricia Cisneros-Watson, MA, LCPC
• Stephanie Ciucci, RD
• Emily Clapsaddle, APN
• Jonathan Claud, M.D.
• Clove Counseling PLLC
• Eric Clymer, DO
• Coacherapy LLC
• Nicole N Coderre, PT, DPT
• Stephanie Cohla

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.