Laura Jean M Mertes, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178006856 Issued in IL

Practice address

815 N Larkin Ave
Suite 104B
Joliet, IL 60435-3438

Phone

(815) 730-8900

Fax

(815) 630-4747

NPI assigned

Nov 15, 2010

Last updated

Nov 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Amt Counseling Management Services

  • Contractor
  • Joliet, IL
  • NPI 1871803726
  NPD (past)

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1811298300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE",
            "address_2": "SUITE 104B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353438",
            "telephone_number": "815-730-8900",
            "fax_number": "815-630-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE",
            "address_2": "SUITE 104B",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353438",
            "telephone_number": "815-730-8900",
            "fax_number": "815-630-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTES",
        "first_name": "LAURA JEAN",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178006856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Medical Associates
• Meridian Medical Associates, SC
• Meridian PHP Medical Services, LLC
• Hope Alyce Merritt, BCBA
• Kathleen C Mertes, LCPC
• Sandra C Messina, MSW
• Jessica Messinger, RBT
• Metrosmiles - Joliet Dental PC
• Bessie Nicholas Metrou, M.D.
• Mett Therapy Services, Inc.

• Professional Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.