Active NPI
Eileen Marie Rancharan, LPC
- Counselor
- Vernon Hills, IL
National Provider Identifier
1700417037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.015500
- Practice address
- 977 Lakeview Pkwy Ste 180
Vernon Hills, IL 60061-1429 - Phone
- (847) 245-1488
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.015500 | IL | Primary |
Addresses
Primary practice location
977 Lakeview Pkwy Ste 180
Vernon Hills, IL 60061-1429
Mailing address
36404 N Grandwood Dr
Gurnee, IL 60031-1545
Phone (708) 580-6077
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 |
|---|---|---|---|
| 178.015500 | IL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1700417037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36404 N GRANDWOOD DR",
"city": "GURNEE",
"state": "IL",
"postal_code": "600311545",
"telephone_number": "708-580-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 LAKEVIEW PKWY STE 180",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611429",
"telephone_number": "847-245-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANCHARAN",
"first_name": "EILEEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.015500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.