Organization Active NPI

Life Recovery Services LTD

  • Mental Health Counselor
  • Lake in the Hills, IL
National Provider Identifier
1639152259
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LIFE RECOVERY SERVICES LTD
Practice address
880 E Oak St Ste 1
Lake in the Hills, IL 60156-6181
Phone
(847) 458-7777
Fax
(847) 458-7778
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Lynn Marie Hamsen, LCPC
Title
Private Practitioner Owner
Phone
(847) 659-1770

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

880 E Oak St Ste 1
Lake in the Hills, IL 60156-6181

Mailing address

241 Wedgewood Cir
Lake in the Hills, IL 60156-6271
Phone (847) 659-1770

National Provider Directory

National Provider Directory

Locations

880 E Oak St
Ste 1
Lake in the Hills, IL 60156
Phone (847) 458-7777

Practitioners & affiliated clinicians

Practitioners 4

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": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1639152259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 WEDGEWOOD CIR",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566271",
            "telephone_number": "847-659-1770",
            "fax_number": "847-659-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 E OAK ST STE 1",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566181",
            "telephone_number": "847-458-7777",
            "fax_number": "847-458-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RECOVERY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "HAMSEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRIVATE PRACTITIONER OWNER",
        "authorized_official_telephone_number": "847-659-1770",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.