NPIMap

Organization Active NPI

Lake-Cook Psychologists and Counseling Associates

Doing business as Lake-Cook Behavioral Health Resources

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington Heights, IL
National Provider Identifier
1609975234
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LAKE-COOK PSYCHOLOGISTS AND COUNSELING ASSOCIATES
Doing business as
Lake-Cook Behavioral Health Resources
Practice address
3285 N Arlington Heights Road
Suite 201
Arlington Heights, IL 60004
Phone
(847) 577-1501
Fax
(847) 577-3858
NPI assigned
Sep 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan J Mayfield, PHDNPI 1912092131
Title
Director
Phone
(847) 577-1501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

3285 N Arlington Heights Road
Suite 201
Arlington Heights, IL 60004

Mailing address

3285 N Arlington Heights Road
Suite 201
Arlington Heights, IL 60004
Phone (847) 577-1501

Other names 1

  • Lake-Cook Behavioral Health Resources Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060131000780 IL Part B Supplier - Clinic/Group Practice 4183638943 Receives reassigned benefits from 12 practitioners
Practice locations: Evanston, IL; Northbrook, IL; Chicago, IL; Arlington HTS, IL

National Provider Directory

National Provider Directory
Tax ID family
Lake Cook Behavioral HL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3345 N Arlington Heights Rd
Ste E
Arlington Heights, IL 60004

2525 Waukegan Rd
Ste 295
Bannockburn, IL 60015
Phone (847) 577-1155

1525 E 53rd St
Ste 424
Chicago, IL 60615
Phone (773) 556-3509

1718 Sherman Ave
Ste 210
Evanston, IL 60201
Phone (847) 322-9155

636 Church St
Ste 619
Evanston, IL 60201
Phone (773) 697-8839

1641 N Milwaukee Ave
Ste 12
Libertyville, IL 60048

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609975234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 N ARLINGTON HEIGHTS ROAD",
            "address_2": "SUITE 201",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-577-1501",
            "fax_number": "847-577-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 N ARLINGTON HEIGHTS ROAD",
            "address_2": "SUITE 201",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60004",
            "telephone_number": "847-577-1501",
            "fax_number": "847-577-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE-COOK PSYCHOLOGISTS AND COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-577-1501",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake-Cook Behavioral Health Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.