Active NPI
Lauren Anne Marciszyn, RD, LPC
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1649419706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178018798
- Practice address
- 5537 N Clark St # B-1
Chicago, IL 60640-0751 - Phone
- (773) 302-1609
- NPI assigned
- Feb 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2737 | MA | |
| Mental Health Counselor | 101YM0800X | 178018798 | IL | Primary |
Addresses
Primary practice location
5537 N Clark St # B-1
Chicago, IL 60640-0751
Mailing address
1461 W Edgewater Ave Apt 3
Chicago, IL 60660-5683
Phone (774) 644-1012
Other practice location 1
1461 W Edgewater Ave Apt 3
Chicago, IL 60660-5683
Phone (774) 644-1012
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178018798 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1649419706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 W EDGEWATER AVE APT 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606605683",
"telephone_number": "774-644-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5537 N CLARK ST # B-1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606400751",
"telephone_number": "773-302-1609"
}
],
"practiceLocations": [
{
"address_1": "1461 W Edgewater Ave Apt 3",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606605683",
"country_code": "US",
"telephone_number": "774-644-1012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCISZYN",
"first_name": "LAUREN",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "RD, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2737",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178018798",
"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 Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.