Organization Active NPI

Lori Aitken, LCPC

  • Adult Mental Health Clinic/Center
  • Evanston, IL
National Provider Identifier
1538459268
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
180002521 Issued in IL
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

Updated by the provider on Apr 14, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1617886OtherILBLUE CROSS BLUE SHIELD
11753041OtherILCAQH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.