Individual provider Active NPI

Laura L Mills, LCPC

  • Mental Health Counselor
  • Bourbonnais, IL
National Provider Identifier
1588948236
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.013702 Issued in IL
Practice address
110 Mooney Dr Ste 1
Bourbonnais, IL 60914-2172
Phone
(779) 529-0825
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.013702 IL Primary
Mental Health Counselor 101YM0800X 178.005956 IL

Addresses

Primary practice location

110 Mooney Dr Ste 1
Bourbonnais, IL 60914-2172

Mailing address

31526 S Will Center Rd
Peotone, IL 60468-9142
Phone (779) 529-0825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010000635 IL Practitioner - Mental Health Counselor 2860999224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Mooney Dr
Suite 1
Bourbonnais, IL 60914-2171

110 Mooney Dr
Suite 1
Bourbonnais, IL 60914-2172
Phone (779) 529-0825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.005956ILMDMental Health Counselor
180.013702ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Itb Therapy PLLC CurrentSince Aug 31, 2025 Accepting new patients
Southside Christian Counseling Center Past Accepting new patients

Locations

110 Mooney Dr
Ste 1
Bourbonnais, IL 60914
Phone (815) 933-7887

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1588948236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31526 S WILL CENTER RD",
            "city": "PEOTONE",
            "state": "IL",
            "postal_code": "604689142",
            "telephone_number": "779-529-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MOONEY DR STE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142172",
            "telephone_number": "779-529-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.013702",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.005956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

Verify at the official NPI Registry.