Debra Baran, LCPC, CADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180001384 Issued in IL

Practice address

457 Coventry LN Ste 116
Crystal Lake, IL 60014-7571

Phone

(847) 309-6438

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 26, 2024 through Jan 26, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1760734107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 AUTUMN DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141612",
            "telephone_number": "847-309-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 COVENTRY LN STE 116",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147571",
            "telephone_number": "847-309-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAN",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "LCPC, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "18677",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180001384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Lynn Baloun, OTR/L
• Paige Bandel
• Hailee Bane, RBT
• Moriah Bang, D.O.
• Farhan J Bangash, DO
• Marguerite Angela Barbagallo, D.D.S.
• Randi Y Barbon, RN, CDE
• Jonathan Paul P. Barbosa
• Sarah Jane Barham
• Angelica Barnes, LPC

• Mental Health Counselor in Crystal Lake, IL
• Providers in Crystal Lake, 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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.