Active NPI
Melissa Lynae Kosanovic
- Counselor
- Lake in the Hills, IL
National Provider Identifier
1497086573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 171 Northlight Passe
Lake in the Hills, IL 60156-4951 - Phone
- (847) 458-2373
- NPI assigned
- Jan 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
171 Northlight Passe
Lake in the Hills, IL 60156-4951
Mailing address
171 Northlight Passe
Lake in the Hills, IL 60156-4951
Phone (847) 458-2373
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1497086573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 NORTHLIGHT PASSE",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601564951",
"telephone_number": "847-458-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 NORTHLIGHT PASSE",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601564951",
"telephone_number": "847-458-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSANOVIC",
"first_name": "MELISSA",
"middle_name": "LYNAE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-28",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake in the Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.