Individual provider Active NPI

Laura Elizabeth Chesslo Langes, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Aurora, IL
National Provider Identifier
1811327034
Registry record updated Jan 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
071.008767 Issued in IL
Practice address
1900 Ogden Ave
Suite 106
Aurora, IL 60504-4273
Phone
(630) 256-8007
Fax
(630) 256-8009
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008767 IL
Clinical Child & Adolescent Psychologist 103TC2200X LP2175 KS
Clinical Child & Adolescent Psychologist 103TC2200X 071.008767 IL Primary
Clinical Psychologist 103TC0700X LP2175 KS

Addresses

Primary practice location

1900 Ogden Ave
Suite 106
Aurora, IL 60504-4273

Mailing address

1900 Ogden Ave
Suite 106
Aurora, IL 60504-4284
Phone (630) 256-8007

Other names 1

  • Laura Elizabeth Chesslo 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
071.008767ILMDClinical Psychologist
LP2175KSMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579910400000",
    "number": "1811327034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OGDEN AVE",
            "address_2": "SUITE 106",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044284",
            "telephone_number": "630-256-8007",
            "fax_number": "630-256-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 OGDEN AVE",
            "address_2": "SUITE 106",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044273",
            "telephone_number": "630-256-8007",
            "fax_number": "630-256-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGES",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH CHESSLO",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2020-01-25",
        "certification_date": "2020-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008767",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "KS",
            "license": "LP2175",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IL",
            "license": "071.008767",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP2175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CHESSLO",
            "middle_name": "ELIZABETH",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.