Active NPI
Lauren Bentley Mathelier, LPC
- Professional Counselor
- Wheaton, IL
National Provider Identifier
1669983664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.009984
- Practice address
- 1616 E Roosevelt Rd
Wheaton, IL 60187-6850 - Phone
- (414) 839-5384
- NPI assigned
- Oct 17, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.009984 | IL | Primary |
Addresses
Primary practice location
1616 E Roosevelt Rd
Wheaton, IL 60187-6850
Mailing address
120 Indian Dr
Clarendon Hills, IL 60514-1120
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 |
|---|---|---|---|
| 178.009984 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1669983664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 INDIAN DR",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605141120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 E ROOSEVELT RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601876850",
"telephone_number": "414-839-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHELIER",
"first_name": "LAUREN",
"middle_name": "BENTLEY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.009984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.