Individual provider Active NPI

Christopher Daniel Lubawski, M.A. LCPC

  • Professional Counselor
  • Darien, IL
National Provider Identifier
1841445152
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.006849 Issued in IL
Practice address
2628 83Rd St
Darien, IL 60561-1661
Phone
(630) 988-6258
Fax
(630) 246-6809
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.006849 IL Primary

Addresses

Primary practice location

2628 83Rd St
Darien, IL 60561-1661

Mailing address

444 W Saint James PL
504
Chicago, IL 60614-2748
Phone (630) 988-6258

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180.006849ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Self Improvement Through Awareness PC PastSince Jun 7, 2004 Accepting new patients
Neuropsychological Services PC Past Accepting new patients
Christopher D Lubawski LCPC Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1841445152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W SAINT JAMES PL",
            "address_2": "504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142748",
            "telephone_number": "630-988-6258",
            "fax_number": "630-246-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 83RD ST",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611661",
            "telephone_number": "630-988-6258",
            "fax_number": "630-246-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBAWSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "DANIEL",
        "credential": "M.A. LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.