Individual provider Active NPI

Garth William Lahue, LMFT

  • Family Psychologist
  • Chicago, IL
National Provider Identifier
1861973430
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
Practice address
30 N Michigan Ave Ste 809
Chicago, IL 60602-3776
Phone
(312) 767-2057
NPI assigned
Aug 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X
Family Psychologist 103TF0000X Primary

Addresses

Primary practice location

30 N Michigan Ave Ste 809
Chicago, IL 60602-3776

Mailing address

5866 N Medina Ave
Chicago, IL 60646-5304
Phone (262) 822-2772

Other identifiers 1

IdentifierTypeStateIssuer
1801273446MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address garth@empoweredconnectionscounseling.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1861973430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 N MEDINA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465304",
            "telephone_number": "262-822-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 809",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023776",
            "telephone_number": "312-767-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHUE",
        "first_name": "GARTH",
        "middle_name": "WILLIAM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801273446",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "garth@empoweredconnectionscounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30 N Michigan Ave Ste 809",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606023776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.