Individual provider Active NPI

Laura Leddy, LPC

  • Professional Counselor
  • Oswego, IL
National Provider Identifier
1447923701
Registry record updated Jul 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1619375078 Issued in IL
Practice address
113 Main St Ste 203
Oswego, IL 60543-8593
Phone
(630) 733-9108
NPI assigned
Jul 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2021

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 1619375078 IL Primary

Addresses

Primary practice location

113 Main St Ste 203
Oswego, IL 60543-8593

Mailing address

515 Majestic LN
Oswego, IL 60543-4031
Phone (630) 544-9613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241206001642 IL Practitioner - Mental Health Counselor 5890221360 Reassigns benefits to 1 organization
I20241206002369 TX Practitioner - Mental Health Counselor 5890221360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1619375078ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lumos Therapy, PLLC Current Accepting new patients
Graceful Therapy, PLLC Professional CurrentSince Aug 8, 2021 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Nov 13, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

113 Main St
Ste 203
Oswego, IL 60543
Phone (630) 733-9108

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627689600000",
    "number": "1447923701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAJESTIC LN",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605434031",
            "telephone_number": "630-544-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST STE 203",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438593",
            "telephone_number": "630-733-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDDY",
        "first_name": "LAURA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-07-31",
        "certification_date": "2021-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "1619375078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.