Individual provider Active NPI

Stephanie Lynn Hayley Lazar

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1528603529
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.015254 Issued in IL
Practice address
1300 W Belmont Ave Ste 501
Chicago, IL 60657-3242
Phone
(312) 508-3645
NPI assigned
Nov 13, 2019
Last updated
Nov 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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 178.015254 IL Primary

Addresses

Primary practice location

1300 W Belmont Ave Ste 501
Chicago, IL 60657-3242

Mailing address

1449 W Belmont Ave Apt 3N
Chicago, IL 60657-6574
Phone (517) 648-3692

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanielazar@lightonanxiety.com

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

State licenses

LicenseStateTypeSpecialty
178.015254ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1528603529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 W BELMONT AVE APT 3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576574",
            "telephone_number": "517-648-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573242",
            "telephone_number": "312-508-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZAR",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN HAYLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanielazar@lightonanxiety.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "address_1": "1300 W Belmont Ave Ste 501",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606573242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 13, 2019; 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.