Individual provider Active NPI

Linda Porter, LCPC

  • Professional Counselor
  • Deerfield, IL
National Provider Identifier
1700181674
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007563 Issued in IL
Practice address
770 Lake Cook Rd Ste 220
Deerfield, IL 60015-4920
Phone
(847) 641-1193
NPI assigned
Jan 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.007563 IL Primary

Addresses

Primary practice location

770 Lake Cook Rd Ste 220
Deerfield, IL 60015-4920

Mailing address

770 Lake Cook Rd Ste 220
Deerfield, IL 60015-4920
Phone (847) 641-1193

Other practice location 1

420 Lake Cook Rd Ste 112
Deerfield, IL 60015-4914
Phone (847) 641-1193

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
180.007563ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1700181674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD STE 220",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154920",
            "telephone_number": "847-641-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LAKE COOK RD STE 220",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154920",
            "telephone_number": "847-641-1193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Lake Cook Rd Ste 112",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600154914",
            "country_code": "US",
            "telephone_number": "847-641-1193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LINDA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.