Individual provider Active NPI

Liliana K Popovic, LCPC

  • Mental Health Counselor
  • Glen Ellyn, IL
National Provider Identifier
1760536189
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180-004195 Issued in IL
Practice address
500 Roosevelt Rd Ste 500
Glen Ellyn, IL 60137-2600
Phone
(630) 854-9165
Fax
(630) 658-0302
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180-004195 IL Primary

Addresses

Primary practice location

500 Roosevelt Rd Ste 500
Glen Ellyn, IL 60137-2600

Mailing address

2S360 River Oaks Dr
Warrenville, IL 60555-1245
Phone (630) 393-2040

Other names 1

  • Mrs. Ljiljana K Popovic 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180-004195ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1760536189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2S360 RIVER OAKS DR",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605551245",
            "telephone_number": "630-393-2040",
            "fax_number": "630-393-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROOSEVELT RD STE 500",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601372600",
            "telephone_number": "630-854-9165",
            "fax_number": "630-658-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVIC",
        "first_name": "LILIANA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-004195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LJILJANA",
            "last_name": "POPOVIC",
            "middle_name": "K",
            "prefix": "MRS.",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.