Lorisa Marie Eby

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

304 W Mondamin St
Minooka, IL 60447-4617

Phone

(224) 577-9203

NPI assigned

Aug 7, 2019

Last updated

Aug 7, 2019By 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 MO

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

Specialty

Clinical Social Worker

Education

University of Chicago, Pritzker School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Seeds of Hope Counseling Service LLC

  • Clinical Social Worker
  • Springfield, MO
  • NPI 1346938164
  Medicare reassignment NPD Authorized official
• Seeds of Hope Counseling Service LLC

  • Clinical Social Worker
  • Minooka, IL
  • NPI 1124890835
  NPD Authorized official

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1720633787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604470104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W MONDAMIN ST",
            "city": "MINOOKA",
            "state": "IL",
            "postal_code": "604474617",
            "telephone_number": "224-577-9203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 W Mondamin St",
            "address_purpose": "LOCATION",
            "city": "Minooka",
            "state": "IL",
            "postal_code": "604474617",
            "country_code": "US",
            "telephone_number": "224-577-9203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBY",
        "first_name": "LORISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Demask, D.O.
• Dental Professionals of Illinois, P.C. (Dental Care of Minooka)
• Dr M Estilo Pain Management LLC
• Lester Duldulao
• Roxanne Marie Dyers, D.D.S.
• Maria Estilo, MD
• Evolve Therapeutic Center
• Robert James Flynn, ATC
• Deborah E Franchi, PHARM. D.
• Jason Freeman

• Mental Health Counselor in Minooka, IL
• Providers in Minooka, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.