Active NPI
Growing Grounded Therapies PLLC
- Professional Counselor
- Lake Forest, IL
National Provider Identifier
1396582201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Koerner, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.