Lotus Therapy Group Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

LOTUS THERAPY GROUP INC

Practice address

112 Kansas St
Frankfort, IL 60423-1447

Phone

(708) 552-7330

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Lisa Carroll, MS, RD, LDNNPI 1417456955

Title

Lead Dietitian, Co-Owner

Phone

(708) 552-7330

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Carroll, MS, RD, LDN

  • Registered Dietitian
  • Naperville, IL
  • NPI 1417456955

  Dietitian, Registered

  NPD Authorized official
• Alyssa Melvin

  • Professional Counselor
  • Frankfort, IL
  • NPI 1316632698
  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1679170203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 KANSAS ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231447",
            "telephone_number": "708-552-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 KANSAS ST",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231447",
            "telephone_number": "708-552-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406795",
            "country_code": "US",
            "telephone_number": "708-552-7330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOTUS THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "LEAD DIETITIAN, CO-OWNER",
        "authorized_official_telephone_number": "708-552-7330",
        "authorized_official_credential": "MS, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Loera
• Sylvia Whitaker Logan
• Melissa Long, LCPC
• Rebecca Ryan Lonkar, SLP
• Andrea Lopez
• Steven Lotysz, DDS
• Loving Minds LLC
• Kristin Anne Low, LCPC
• LSC Therapy Group, P.C.
• Mark Bernard Lubienski, M.D.

• Registered Dietitian in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.