Individual provider Active NPI

Lisa Kuiper, LCPC

  • Professional Counselor
  • Tinley Park, IL
National Provider Identifier
1477056075
Registry record updated Mar 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011515 Issued in IN
Practice address
16325 Harlem Ave Ste 200
Tinley Park, IL 60477-1688
Phone
(708) 429-6999
NPI assigned
Mar 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2018

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 180.011515 IN Primary

Addresses

Primary practice location

16325 Harlem Ave Ste 200
Tinley Park, IL 60477-1688

Mailing address

320 61St St
Downers Grove, IL 60516-2029
Phone (312) 352-4860

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240827002129 IL Practitioner - Mental Health Counselor 3678012234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7620 W 159TH St
Suite 108
Orland Park, IL 60462-5400
Phone (708) 365-8393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.011515INMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Psychological Services PLLC CurrentSince Jun 6, 2024 Accepting new patients

Locations

7620 W 159th St
Ste 108
Orland Park, IL 60462
Phone (708) 365-8393

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": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520640000000",
    "number": "1477056075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 61ST ST",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162029",
            "telephone_number": "312-352-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 HARLEM AVE STE 200",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771688",
            "telephone_number": "708-429-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUIPER",
        "first_name": "LISA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IN",
            "license": "180.011515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.