Gabriela Lara

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

329 N Genesee St
Waukegan, IL 60085-4205

Phone

(847) 623-1730

NPI assigned

Sep 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Arden Shore Child and Family Services

  • Community/Behavioral Health Agency
  • Waukegan, IL
  • NPI 1013294271
  NPD (past)

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1619495785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 W VERMONT AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600873646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N GENESEE ST",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600854205",
            "telephone_number": "847-623-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Lane, M.A., BCBA
• Georgeanne Judith Langer
• Madison Lapidus
• Rebecca Lapp, M.S.
• Alfonso R Lara
• Gloria Lara
• Elissa Marie Larkin, APN, CNM
• Ashlyn Larson
• Nicole Lasak, RN
• Suriyya Azra Maryum Latif

• Mental Health Counselor in Waukegan, IL
• Providers in Waukegan, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.