Individual provider Active NPI

Laurie B. Anderson-Kramer, LCSW

  • Mental Health Counselor
  • Kenilworth, IL
National Provider Identifier
1588793608
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149.003181 Issued in IL
Practice address
503 Park Dr
Suite 1
Kenilworth, IL 60043-1094
Phone
(773) 412-0120
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149.003181 IL Primary

Addresses

Primary practice location

503 Park Dr
Suite 1
Kenilworth, IL 60043-1094

Mailing address

503 Park Dr
Suite 1
Kenilworth, IL 60043-1094
Phone (773) 412-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.003181ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1588793608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PARK DR",
            "address_2": "SUITE 1",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431094",
            "telephone_number": "773-412-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 PARK DR",
            "address_2": "SUITE 1",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431094",
            "telephone_number": "773-412-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-KRAMER",
        "first_name": "LAURIE",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.003181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenilworth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.