Individual provider Active NPI

Craig Steven Laasch, PSY.D.

  • Psychologist
  • Morris, IL
National Provider Identifier
1710140678
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
12778678 Issued in IL
Practice address
1802 N Division St
Suite 604
Morris, IL 60450-1182
Phone
(815) 941-3882
Fax
(815) 941-3884
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 12778678 IL Primary

Addresses

Primary practice location

1802 N Division St
Suite 604
Morris, IL 60450-1182

Mailing address

2469 E 2350TH Rd
Marseilles, IL 61341-9710
Phone (815) 263-6962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000369 IL Practitioner - Clinical Psychologist 3072798180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Counseling Services, PLLCGroup PAC ID 9234280710, 7 clinicians

Practice addresses (Care Compare)

1802 N Division St
Suite 509
Morris, IL 60450-3107
Phone (815) 941-3882

1802 N Division St
Suite 509
Morris, IL 60450-3112

601 W Norris Dr
Suite B
Ottawa, IL 61350-1308
Phone (815) 941-3882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12778678ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Counseling Services, PLLC CurrentSince Mar 19, 2011 Accepting new patients

Locations

1802 N Division St
Ste 509
Morris, IL 60450
Phone (815) 941-4700

1802 N Division St
Ste 604
Morris, IL 60450

601 W Norris Dr
Ste B
Ottawa, IL 61350
Phone (815) 431-1800

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1710140678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 E 2350TH RD",
            "city": "MARSEILLES",
            "state": "IL",
            "postal_code": "613419710",
            "telephone_number": "815-263-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST",
            "address_2": "SUITE 604",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501182",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAASCH",
        "first_name": "CRAIG",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "12778678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.