LB Counseling and Consulting, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LB COUNSELING AND CONSULTING, LLC

Practice address

310 N Convent St Ste 2
Bourbonnais, IL 60914-2175

Phone

(815) 552-0226

Fax

(815) 205-5376

NPI assigned

Feb 24, 2020

Organization subpart

No

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

Authorized official

Name

Lara Bergstedt, LCSWNPI 1811125974

Title

Owner/Ceo

Phone

(815) 552-0226

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lara M Bergstedt, LCSW

  • Clinical Social Worker
  • Watseka, IL
  • NPI 1811125974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1770117293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N CONVENT ST STE 2",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142175",
            "telephone_number": "815-552-0226",
            "fax_number": "815-205-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N CONVENT ST STE 2",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142175",
            "telephone_number": "815-552-0226",
            "fax_number": "815-205-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LB COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "BERGSTEDT",
        "authorized_official_first_name": "LARA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "815-552-0226",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lara@lbcounselingservices.com",
            "affiliation": "N",
            "address_1": "3446 191st St",
            "city": "Lansing",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604383848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert J Latiker, LSW
• Laura Latocha, MA
• Laureate Bourbonnais Operations LLC
• Laureate Kankakee Operations LLC
• Lavender Hope, PLLC
• Joanne M Leahy-Auer, MD
• Jerry Joseph Lebeda Jr., DDS
• Diana Lebran
• Jacob Daniel Ledesma, PT, DPT
• Julie Leidecker, PT

• Adult Mental Health Clinic/Center in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.