Lora Van Arsdell, PSYD LCSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071009542 Issued in IL

Practice address

5 Revere Dr Ste 200
Northbrook, IL 60062-8000

Phone

(630) 258-8059

Fax

(844) 629-5618

NPI assigned

Dec 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Knot Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northbrook, IL
  • NPI 1467933663
  NPD (past) Authorized official

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1558769109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REVERE DRIVE, SUITE 200 PMD 2100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621381",
            "telephone_number": "630-258-8059",
            "fax_number": "844-629-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REVERE DR STE 200",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600628000",
            "telephone_number": "630-258-8059",
            "fax_number": "844-629-5618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23W620 Hemlock Ln",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605409510",
            "country_code": "US",
            "telephone_number": "630-258-8059",
            "fax_number": "844-629-5618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "999 Oakmont Plaza Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "60559",
            "country_code": "US",
            "telephone_number": "630-850-2120",
            "fax_number": "630-850-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN ARSDELL",
        "first_name": "LORA",
        "name_prefix": "Dr.",
        "credential": "PSYD LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017112",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071009542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F400378779",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan S Valdez-Withrow
• Regan A Valfer, M.D.
• Steven Irving Valfer, M.D.
• Kelly Joy Valignota, DO
• Michael A Valle
• Ashlyn Vance
• Edward Jossue Vaquedano
• Leslie Vargas, RBT
• Asha S Varghese
• Blesson Varghese

• Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.