Laraine Ruth Bodnar, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.005592 Issued in IL

Practice address

1270 E Golf Rd
Des Plaines, IL 60016-1205

Phone

(708) 227-7569

NPI assigned

Jul 19, 2016

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Catholic Charities of the Archdiocese of Chicago

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1669583001
  Medicare reassignment NPD

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1699128231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161205",
            "telephone_number": "708-227-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161205",
            "telephone_number": "708-227-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "LARAINE",
        "middle_name": "RUTH",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BLC-the Heritage of Des Plaines, LLC (Brookdale Des Plaines)
• Lisa Blumofe
• William C Blustein, M.D.
• Alicja Bochenek-Schultz, LPC
• Charlie Pierre Bocian, PHARMD, MBA
• Body in Balance Chiropractic Medical and Wellness PLLC
• Daniela Bogdan, D.C.
• Milena Bogusz
• Kelsey Marie Bohl, MS, PA-C
• Lisa Bolinder, AT

• Professional Counselor in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.