Individual provider Active NPI

Courtney M Langsdale, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1700406170
Registry record updated Apr 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180009752 Issued in IL
Practice address
1801 W Larchmont Ave Apt 410
Chicago, IL 60613-2476
Phone
(815) 354-3575
NPI assigned
Apr 25, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2020

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 180009752 IL Primary

Addresses

Primary practice location

1801 W Larchmont Ave Apt 410
Chicago, IL 60613-2476

Mailing address

1801 W Larchmont Ave Apt 410
Chicago, IL 60613-2476
Phone (815) 354-3575

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
180009752ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1700406170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W LARCHMONT AVE APT 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132476",
            "telephone_number": "815-354-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W LARCHMONT AVE APT 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132476",
            "telephone_number": "815-354-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSDALE",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.