Individual provider Active NPI

Luke Christian Merrill

  • Counselor
  • Palatine, IL
National Provider Identifier
1689447955
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.019468 Issued in IL
Practice address
675 N North CT Ste 215
Palatine, IL 60067-8105
Phone
(224) 578-6436
NPI assigned
Oct 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.019468 IL Primary

Addresses

Primary practice location

675 N North CT Ste 215
Palatine, IL 60067-8105

Mailing address

404 E Gregory St Ste 11
Mount Prospect, IL 60056-2573
Phone (224) 578-6436

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

LicenseStateTypeSpecialty
178.019468ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
White Stone Partners LLC CurrentSince Mar 6, 2022 Accepting new patients

Locations

34121 N US Highway 45
Ste 221
Grayslake, IL 60030
Phone (847) 461-9162

100 N Waukegan Rd
Ste 204
Lake Bluff, IL 60044
Phone (224) 252-4951

550 W Frontage Rd
Ste 3825
Northfield, IL 60093
Phone (847) 461-9162

675 N North Ct
Ste 215
Palatine, IL 60067
Phone (847) 461-9162

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1689447955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E GREGORY ST STE 11",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562573",
            "telephone_number": "224-578-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N NORTH CT STE 215",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678105",
            "telephone_number": "224-578-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "LUKE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.019468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.