Individual provider Active NPI

Laura Kezdi-Hamzeloo, L.C.P.C.

  • Professional Counselor
  • Mount Prospect, IL
National Provider Identifier
1528382017
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007406 Issued in IL
Practice address
519 S. Edward Street
Mount Prospect, IL 60056-3945
Phone
(847) 590-0043
NPI assigned
Mar 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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 180.007406 IL Primary

Addresses

Primary practice location

519 S. Edward Street
Mount Prospect, IL 60056-3945

Mailing address

519 S Edward St
Mount Prospect, IL 60056-3909
Phone (847) 590-0043

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
I20240409000253 IL Practitioner - Mental Health Counselor 4284072406 Practice locations: Mount Prospect, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 W Central Rd
Suite 104a
Mount Prospect, IL 60056-2382
Phone (224) 558-2868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.007406ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Kezdi-Hamzeloo, LCPC Professional Current Accepting new patients

Locations

3365 N Arlington Heights Rd
Ste L
Arlington Heights, IL 60004
Phone (224) 558-2868

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": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1528382017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S EDWARD ST",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563909",
            "telephone_number": "847-590-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S. EDWARD STREET",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563945",
            "telephone_number": "847-590-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEZDI-HAMZELOO",
        "first_name": "LAURA",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-26",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.