Individual provider Active NPI

Lauren Fae Epstein Giles, LCSW

  • Professional Counselor
  • Northbrook, IL
National Provider Identifier
1629338892
Registry record updated Dec 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
149.006527 Issued in IL
Practice address
666 Dundee Rd Ste 1302
Northbrook, IL 60062-2736
Phone
(248) 766-9703
Fax
(847) 400-5828
NPI assigned
May 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2022

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 149.006527 IL Primary

Addresses

Primary practice location

666 Dundee Rd Ste 1302
Northbrook, IL 60062-2736

Mailing address

1212 Larrabee LN
Northbrook, IL 60062-4671
Phone (248) 766-9703

Other practice location 1

777 Central Ave
Highland Park, IL 60035-3240
Phone (847) 432-4981 ext. 27

Other identifiers 1

IdentifierTypeStateIssuer
149.006527OtherILLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120828000022 IL Practitioner - Clinical Social Worker 2769639798 Practice locations: Northbrook, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

666 Dundee Rd
Suite 1302
Northbrook, IL 60062-2736
Phone (248) 766-9703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.006527ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670630400000",
    "number": "1629338892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 LARRABEE LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624671",
            "telephone_number": "248-766-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1302",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622736",
            "telephone_number": "248-766-9703",
            "fax_number": "847-400-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "IL",
            "postal_code": "600353240",
            "country_code": "US",
            "telephone_number": "847-432-4981 x27",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPSTEIN GILES",
        "first_name": "LAUREN",
        "middle_name": "FAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2022-12-10",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "149.006527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149.006527",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.