Individual provider Active NPI

Lori Eyman, MA

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1417127879
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.0005617 Issued in IL
Practice address
10 E 22ND St Ste 210
Lombard, IL 60148-6108
Phone
(630) 627-5000
Fax
(630) 627-5032
NPI assigned
Mar 1, 2008
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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 180.0005617 IL Primary

Addresses

Primary practice location

10 E 22ND St Ste 210
Lombard, IL 60148-6108

Mailing address

10 E 22ND St Ste 210
Lombard, IL 60148-6108
Phone (630) 627-5000

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.0005617ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Motivational Development of Illinois LTD Past Accepting new patients

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": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1417127879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST STE 210",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486108",
            "telephone_number": "630-627-5000",
            "fax_number": "630-627-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 22ND ST STE 210",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486108",
            "telephone_number": "630-627-5000",
            "fax_number": "630-627-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYMAN",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.0005617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.