Individual provider Active NPI

Daniel Lanctot, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1477025203
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180011899 Issued in IL
Practice address
3145 W Pratt Blvd
Chicago, IL 60645-4125
Phone
(773) 467-3723
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180011899 IL Primary
Professional Counselor 101YP2500X 180.011899 IL

Addresses

Primary practice location

3145 W Pratt Blvd
Chicago, IL 60645-4125

Mailing address

3145 W Pratt Blvd
Chicago, IL 60645-4125
Phone (773) 467-3723

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.011899ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Child and Family Services PastSince Mar 13, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daniel.lanctot.p30@direct.fhn-fqhc.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1477025203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W PRATT BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454125",
            "telephone_number": "773-467-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W PRATT BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606454125",
            "telephone_number": "773-467-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCTOT",
        "first_name": "DANIEL",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011899",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.