Laura Roman, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.013283 Issued in IL

Practice address

34121 N US Highway 45 Ste 221
Grayslake, IL 60030-1774

Phone

(224) 424-0185

NPI assigned

May 25, 2017

Last updated

Apr 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Reimer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 19, 2024 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Centerpointe Cpe, Inc.

  • Counselor
  • Libertyville, IL
  • NPI 1528397296
  NPD (past)
• Lifeplace, Inc.

  • Counselor
  • Libertyville, IL
  • NPI 1588920615
  NPD (past)

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1508394107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N WAUKEGAN RD STE 204",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441660",
            "telephone_number": "224-424-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45 STE 221",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301774",
            "telephone_number": "224-424-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "LAURA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.013283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "REIMER",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul Joseph Risner, DC
• Robert S. King, D.D.S., LTD.
• Tauheedah L Robinson, CERTIFIED OPTICIAN
• Christina Maria Rojas-Santos, MS
• Lisa D Roller, MD
• Robert Bruce Rosenberg, M.D.
• Sarah Rebecca Rosten, MA CCCL
• Lisa Rouff, PH.D.
• Renee Rouse, LCSW
• Kim C Rubenstein, PSY.D.

• Mental Health Counselor in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.