Active NPI
Elizabeth Lattof Bruemmer, LPC
- Professional Counselor
- Deer Park, IL
National Provider Identifier
1740826569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.015430
- Practice address
- 21925 W Field Pkwy Ste 215
Deer Park, IL 60010-7278 - Phone
- (847) 438-4222
- Fax
- (847) 807-3080
- NPI assigned
- Nov 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.015430 | IL | Primary |
Addresses
Primary practice location
21925 W Field Pkwy Ste 215
Deer Park, IL 60010-7278
Mailing address
61 S Old Rand Rd
Lake Zurich, IL 60047-3127
Phone (847) 438-4222
Other practice location 1
61 S Old Rand Rd
Lake Zurich, IL 60047-3127
Phone (847) 438-4222 ext. 41
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 |
|---|---|---|---|
| 178.015430 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherry Hills Counseling PLLC | Current | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574812800000",
"number": "1740826569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 S OLD RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600473127",
"telephone_number": "847-438-4222",
"fax_number": "847-807-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21925 W FIELD PKWY STE 215",
"city": "DEER PARK",
"state": "IL",
"postal_code": "600107278",
"telephone_number": "847-438-4222",
"fax_number": "847-807-3080"
}
],
"practiceLocations": [
{
"address_1": "61 S Old Rand Rd",
"address_purpose": "LOCATION",
"city": "Lake Zurich",
"state": "IL",
"postal_code": "600473127",
"country_code": "US",
"telephone_number": "847-438-4222 x41",
"fax_number": "847-807-3080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATTOF BRUEMMER",
"first_name": "ELIZABETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-27",
"last_updated": "2019-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.015430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.