Lisa Mandl, LCPC, NCC, CCTP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.014805 Issued in IL

Practice address

9506 Park LN
Des Plaines, IL 60016-3904

Phone

(847) 834-4474

NPI assigned

May 8, 2019

Last updated

Mar 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reclaiming Hope Wellness Center PC

  • Professional Counselor
  • Des Plaines, IL
  • NPI 1689391500
  NPD Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1558926170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9506 PARK LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163904",
            "telephone_number": "847-834-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9506 PARK LN",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163904",
            "telephone_number": "847-834-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDL",
        "first_name": "LISA",
        "credential": "LCPC, NCC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Makowski, LCSW
• Michelle O. Maliwat, DPT
• Alexis Mall, LCSW
• Evarisa Maloku, APRN, FNP-C
• Rani Mammen
• Holly Eve Mandziara, PT
• Mani N Subramanian MD SC
• Marisha Mani
• Stephanie Marie Manjarrez, BSW, MSW, LCSW
• Elizabeth D Manjooran, M.D., MD

• Professional Counselor in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.