Individual provider Active NPI

Faith Denise Laski, LCPC

  • Professional Counselor
  • Woodstock, IL
National Provider Identifier
1396167375
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.001924 Issued in IL
Practice address
527 W South St
Woodstock, IL 60098-3756
Phone
(815) 338-2910
Fax
(815) 339-2912
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.001924 IL Primary

Addresses

Primary practice location

527 W South St
Woodstock, IL 60098-3756

Mailing address

527 W South St
Woodstock, IL 60098-3756
Phone (815) 338-2910

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
180.001924ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1396167375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W SOUTH ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983756",
            "telephone_number": "815-338-2910",
            "fax_number": "815-339-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 W SOUTH ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983756",
            "telephone_number": "815-338-2910",
            "fax_number": "815-339-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASKI",
        "first_name": "FAITH",
        "middle_name": "DENISE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.001924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.