Active NPI
Lori Aitken, LCPC
- Adult Mental Health Clinic/Center
- Evanston, IL
National Provider Identifier
1538459268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 180002521
- Legal business name
- LORI AITKEN, LCPC
- Practice address
- 1818 Dempster St
Evanston, IL 60202-1003 - Phone
- (847) 527-7421
- NPI assigned
- Apr 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Aitken, LCPC
- Title
- Owner
- Phone
- (847) 217-7836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 180002521 | IL | Primary |
Addresses
Primary practice location
1818 Dempster St
Evanston, IL 60202-1003
Mailing address
621 Hinman Ave
Evanston, IL 60202-3026
Phone (847) 217-7836
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1617886 | Other | IL | BLUE CROSS BLUE SHIELD |
| 11753041 | Other | IL | CAQH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302739200000",
"number": "1538459268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 HINMAN AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023026",
"telephone_number": "847-217-7836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 DEMPSTER ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602021003",
"telephone_number": "847-527-7421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORI AITKEN, LCPC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-14",
"last_updated": "2011-04-14",
"status": "A",
"authorized_official_last_name": "AITKEN",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-217-7836",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "IL",
"license": "180002521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1617886",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11753041",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.