Individual provider Active NPI

Robert Dean Lelaurin Jr.

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1619644721
Registry record updated Apr 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.018015 Issued in IL
Practice address
53 W Jackson Blvd Ste 1615
Chicago, IL 60604-3722
Phone
(312) 834-7221
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2022

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
Mental Health Counselor 101YM0800X 178.018015 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd Ste 1615
Chicago, IL 60604-3722

Mailing address

53 W Jackson Blvd Ste 510
Chicago, IL 60604-3434
Phone (312) 834-7221

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

State licenses

LicenseStateTypeSpecialty
178.018015ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pneuma Therapeutic Services Mental Health CurrentSince Oct 12, 2025 Accepting new patients
Pneuma Therapeutic Services CurrentSince Aug 1, 2021 Accepting new patients

Locations

53 W Jackson Blvd
Ste 510
Chicago, IL 60604
Phone (312) 600-4953

53 W Jackson Blvd
Ste 1615
Chicago, IL 60604
Phone (312) 898-1840

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1619644721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 510",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043434",
            "telephone_number": "312-834-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 1615",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043722",
            "telephone_number": "312-834-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAURIN",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.018015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2022; 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.