Organization Active NPI

Laurenbondy, LCSW, Inc.

  • Community/Behavioral Health Agency
  • Northbrook, IL
National Provider Identifier
1619475589
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
149015861 Issued in IL
Legal business name
LAURENBONDY, LCSW, INC.
Practice address
350 Pfingsten Rd Ste 109
Northbrook, IL 60062-2032
Phone
(847) 421-9492
NPI assigned
Jan 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Mrs. Lauren C. Bondy, LCSWNPI 1255775342
Title
Owner/Therapist
Phone
(847) 562-9503

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
Community/Behavioral Health Agency 251S00000X 149015861 IL Primary

Addresses

Primary practice location

350 Pfingsten Rd Ste 109
Northbrook, IL 60062-2032

Mailing address

1514 Chapel CT
Northbrook, IL 60062-4650
Phone (847) 562-9503

National Provider Directory

National Provider Directory

Locations

350 Pfingsten Rd
Ste 109
Northbrook, IL 60062
Phone (617) 816-1419

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1619475589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 CHAPEL CT",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624650",
            "telephone_number": "847-562-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PFINGSTEN RD STE 109",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622032",
            "telephone_number": "847-421-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENBONDY, LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "BONDY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "847-562-9503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149015861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.