Individual provider Active NPI

Laura Kathleen Farrar, MSED LCPC

  • Professional Counselor
  • Batavia, IL
National Provider Identifier
1750495065
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180004461 Issued in IL
Practice address
287 Landfield Rd
Batavia, IL 60510-3611
Phone
(630) 334-9146
NPI assigned
Aug 17, 2006
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 180004461 IL Primary

Addresses

Primary practice location

287 Landfield Rd
Batavia, IL 60510-3611

Mailing address

287 Landfield Rd
Batavia, IL 60510-3611
Phone (630) 334-9146

Other practice location 1

640 N. River Road
Suite 108
Naperville, IL 60563
Phone (630) 718-0717 ext. 206

Other identifiers 1

IdentifierTypeStateIssuer
0002225381OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Laura Kathleen Ahrens Former name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Revelations RX PLLC CurrentSince Feb 10, 2024 Accepting new patients
Farrar Wellness Co CurrentSince Nov 17, 2024 Accepting new patients

Locations

640 N River Rd
Ste 108
Naperville, IL 60563
Phone (630) 359-8951

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1750495065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 LANDFIELD RD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103611",
            "telephone_number": "630-334-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 LANDFIELD RD",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103611",
            "telephone_number": "630-334-9146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 N. River Road",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "60563",
            "country_code": "US",
            "telephone_number": "630-718-0717 x206",
            "fax_number": "630-718-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "LAURA",
        "middle_name": "KATHLEEN",
        "credential": "MSED LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0002225381",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "AHRENS",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batavia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.