Individual provider Active NPI

Rachel Anne Lantagne, M.A., L.C.P.C.

  • Professional Counselor
  • North Riverside, IL
National Provider Identifier
1598138935
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.010028 Issued in IL
Practice address
2258 S 8TH Ave
North Riverside, IL 60546-1102
Phone
(708) 609-4992
NPI assigned
Nov 6, 2015
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.010028 IL Primary

Addresses

Primary practice location

2258 S 8TH Ave
North Riverside, IL 60546-1102

Mailing address

2258 S 8TH Ave
North Riverside, IL 60546-1102
Phone (708) 609-4992

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.010028ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lantagne Counseling Services CurrentSince Nov 22, 2020 Accepting new patients
Prairie Wellness Counseling Center, P.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1598138935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 S 8TH AVE",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461102",
            "telephone_number": "708-609-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 S 8TH AVE",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461102",
            "telephone_number": "708-609-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTAGNE",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "M.A., L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Riverside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.