Active NPI
Carla Ruth Laury, LCPC
- Professional Counselor
- Arlington Heights, IL
National Provider Identifier
1689121428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178012055
- Practice address
- 415 W Golf Rd Ste 59B
Arlington Heights, IL 60005-3923 - Phone
- (847) 305-1360
- NPI assigned
- Sep 9, 2016
- Last updated
- Oct 24, 2024
- 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 | 178012055 | IL | Primary |
Addresses
Primary practice location
415 W Golf Rd Ste 59B
Arlington Heights, IL 60005-3923
Mailing address
835 Pearson St Apt 405
Des Plaines, IL 60016-6409
Phone (847) 431-5077
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 |
|---|---|---|---|
| 178012055 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Roots Therapy, LLC. | Professional | Current | Accepting new patients |
| Kelly Behrends, PSYD, PC | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 59B
Arlington Heights, IL 60005
Phone (847) 305-1360
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Arlington Heights, IL
- NPI 1497323778
-
- Clinical Psychologist
- Libertyville, IL
- NPI 1962632463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1689121428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 PEARSON ST APT 405",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600166409",
"telephone_number": "847-431-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W GOLF RD STE 59B",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600053923",
"telephone_number": "847-305-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURY",
"first_name": "CARLA",
"middle_name": "RUTH",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178012055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
- Antonina Rose Lattuca
- Janice Lau, APN
- Phyllis J Lauer, APN
- Laura Ipjian LLC
- Laura Kezdi-Hamzeloo, LCPC (LKH Therapy, P.C.)
- Lauter, Jarosz & Valente Orthodontics, P.C.
- Monica Ann Lavrisa
- Lawrence D Wolin MD SC (Northwest Ophthalmology)
- Lawrence D. Wolin, M.D.,S.C. (Northwest Ophthalmology)
- Lawrence Martin MD SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.