Laura Anne Lengyel, MA, LCPC, ATR-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012196 Issued in IL

Practice address

5900 Bond Ave
Centreville, IL 62207-2326

Phone

(618) 332-5351

NPI assigned

Nov 29, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Promed Preferred Il 2 PLLC

  • Clinical Social Worker
  • Fairview Heights, IL
  • NPI 1023855566
  Medicare reassignment NPD

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1467922708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BOND AVE",
            "city": "CENTREVILLE",
            "state": "IL",
            "postal_code": "622072326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BOND AVE",
            "city": "CENTREVILLE",
            "state": "IL",
            "postal_code": "622072326",
            "telephone_number": "618-332-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENGYEL",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "MA, LCPC, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012196",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalyani Gavini, M.D.
• Michelle Gaydenhopkins
• Vandana Gupta, D.D.S
• Ameanna Vusu Hamilton
• Roberta Johnson
• Justine Ann Livesay, LCPC
• Heather L Lucas-Foster, M.D.
• David Reed Lysakowski, LCSW
• Alecia E Marks, LCSW
• Haley Mayo, PA-C

• Professional Counselor in Centreville, IL
• Providers in Centreville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.