Organization Active NPI

Growing Grounded Therapies PLLC

  • Professional Counselor
  • Lake Forest, IL
National Provider Identifier
1396582201
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GROWING GROUNDED THERAPIES PLLC
Practice address
222 E Wisconsin Ave Ste 300B
Lake Forest, IL 60045-1723
Phone
(847) 986-9319
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Laura Koerner, LCPCNPI 1942489711
Title
Ceo
Phone
(847) 986-9319

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

222 E Wisconsin Ave Ste 300B
Lake Forest, IL 60045-1723

Mailing address

1340 Division St
Highland Park, IL 60035-3014
Phone (479) 869-3198

National Provider Directory

National Provider Directory

Locations

222 E Wisconsin Ave
Ste 300B
Lake Forest, IL 60045
Phone (847) 986-9319

Practitioners & affiliated clinicians

Practitioners 1

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": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1396582201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 DIVISION ST",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353014",
            "telephone_number": "479-869-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E WISCONSIN AVE STE 300B",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451723",
            "telephone_number": "847-986-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING GROUNDED THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-986-9319",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.