Elba Iris Lara, MSW, CADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1116 N Kedzie Ave
Chicago, IL 60651-4152

Phone

(773) 772-8009

Fax

(773) 292-5490

NPI assigned

Apr 8, 2009

Last updated

Jun 21, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1578706479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N. KEDZIE AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514152",
            "telephone_number": "773-772-8009",
            "fax_number": "773-292-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606514152",
            "telephone_number": "773-772-8009",
            "fax_number": "773-292-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "ELBA",
        "middle_name": "IRIS",
        "name_prefix": "Mrs.",
        "credential": "MSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara L. Wolff, LCPC, PLLC
• Abrahan Lara-Pacheco, MD
• Yasmin Lara-Salazar, MA
• Beverly Avila Lara, MSW, LSW
• Carlos Lara, MD
• Fallyn Simone Lara
• Gilka I Lara, MD
• Gladys Lara, DN
• Jazmin Lara, PH.D.
• Jennifer Lara, LCPC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.