Organization Active NPI

Compassiionate Care at LSC Therapy.Com

  • Mental Health Counselor
  • Frankfort, IL
National Provider Identifier
1851927156
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMPASSIIONATE CARE AT LSC THERAPY.COM
Practice address
20635 Abbey Woods CT N
Frankfort, IL 60423-3181
Phone
(815) 464-8210
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
John Jacobson
Title
Owner
Phone
(815) 464-8210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

20635 Abbey Woods CT N
Frankfort, IL 60423-3181

Mailing address

20635 Abbey Woods CT N
Frankfort, IL 60423-3181
Phone (815) 464-8210

Other identifiers 1

IdentifierTypeStateIssuer
1902918683OtherILINSURANCE

National Provider Directory

National Provider Directory

Locations

20635 Abbey Woods Ct N
Frankfort, IL 60423
Phone (815) 464-8210

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1851927156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233181",
            "telephone_number": "815-464-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233181",
            "telephone_number": "815-464-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIIONATE CARE AT LSC THERAPY.COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-464-8210"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE",
            "identifier": "1902918683",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.