Active NPI
Rick Coffaro, LPC
- Counselor
- Lake Zurich, IL
National Provider Identifier
1437555695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.010023
- Practice address
- 61 S Old Rand Rd
Lake Zurich, IL 60047-3127 - Phone
- (847) 438-4222
- Fax
- (847) 438-0844
- NPI assigned
- Nov 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.010023 | IL | Primary |
Addresses
Primary practice location
61 S Old Rand Rd
Lake Zurich, IL 60047-3127
Mailing address
1211 N Arlington Heights Rd
Arlington Heights, IL 60004-4740
Phone (847) 514-2104
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.010023 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417651200000",
"number": "1437555695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N ARLINGTON HEIGHTS RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600044740",
"telephone_number": "847-514-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 S OLD RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600473127",
"telephone_number": "847-438-4222",
"fax_number": "847-438-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFARO",
"first_name": "RICK",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-11-14",
"last_updated": "2014-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.010023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Zurich, IL
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- Maria Churak, P.T.
- Clocktower Psychological Associates, LTD.
- Melissa Ann Colon, PSYD
- Costco Wholesale Corporation
- Costco Wholesale Corporation (Costco Optical #378)
- Costco Wholesale Corporation (Costco Hearing Aid #378)
- Dawn M Costello, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.