Active NPI
Rick Thomas Landre, MS
- Marriage & Family Therapist
- McHenry, IL
National Provider Identifier
1447755582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 5400 W Elm St Ste 104
McHenry, IL 60050-4032 - Phone
- (815) 331-8768
- NPI assigned
- Mar 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
5400 W Elm St Ste 104
McHenry, IL 60050-4032
Mailing address
10815 Rudolph CT
Spring Grove, IL 60081-9657
Phone (815) 793-1055
Other practice location 1
600 Dakota St
Crystal Lake, IL 60012-3742
Phone (815) 793-1055
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1447755582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10815 RUDOLPH CT",
"city": "SPRING GROVE",
"state": "IL",
"postal_code": "600819657",
"telephone_number": "815-793-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 W ELM ST STE 104",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600504032",
"telephone_number": "815-331-8768"
}
],
"practiceLocations": [
{
"address_1": "600 Dakota St",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "600123742",
"country_code": "US",
"telephone_number": "815-793-1055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDRE",
"first_name": "RICK",
"middle_name": "THOMAS",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.