Individual provider Active NPI

Marissa Sue Vogrin, MA

  • Mental Health Counselor
  • North Aurora, IL
National Provider Identifier
1871360156
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
66 Miller Dr Ste 105
North Aurora, IL 60542-5144
Phone
(815) 655-7502
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

66 Miller Dr Ste 105
North Aurora, IL 60542-5144

Mailing address

1950 Dekalb Ave Ste E
Sycamore, IL 60178-3114
Phone (815) 258-6470

Other names 1

  • Marissa Sue Wendlandt-Lawm 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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Oakheart, Center for Counseling, Mediation, and Consultation, LLC Mental Health CurrentSince Dec 10, 2023 Accepting new patients

Locations

66 Miller Dr
Ste 105
North Aurora, IL 60542
Phone (630) 570-0050

1950 DeKalb Ave
Ste E
Sycamore, IL 60178
Phone (630) 570-0050

Organizations & group practices 1

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1871360156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DEKALB AVE STE E",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783114",
            "telephone_number": "815-258-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MILLER DR STE 105",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425144",
            "telephone_number": "815-655-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGRIN",
        "first_name": "MARISSA",
        "middle_name": "SUE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "WENDLANDT-LAWM",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.