Active NPI
Lori Marek-McKillop
- Professional Counselor
- Brookfield, IL
National Provider Identifier
1891025995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.006796
- Legal business name
- LORI MAREK-MCKILLOP
- Practice address
- 3501 Maple Ave
Brookfield, IL 60513-1249 - Phone
- (708) 309-0915
- NPI assigned
- Jan 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lori Marek-McKillop, M.S., L.C.P.C.
- Title
- Therapist
- Phone
- (708) 309-0915
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.006796 | IL | |
| Professional Counselor | 101YP2500X | 180.006796 | IL | Primary |
| Behavior Analyst | 103K00000X | 180.006796 | IL |
Addresses
Primary practice location
3501 Maple Ave
Brookfield, IL 60513-1249
Mailing address
3501 Maple Ave
Brookfield, IL 60513-1249
Phone (708) 309-0915
National Provider Directory
National Provider DirectoryLocations
3501 Maple Ave
Brookfield, IL 60513
Phone (708) 309-0915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263254400000",
"number": "1891025995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 MAPLE AVE",
"city": "BROOKFIELD",
"state": "IL",
"postal_code": "605131249",
"telephone_number": "708-309-0915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 MAPLE AVE",
"city": "BROOKFIELD",
"state": "IL",
"postal_code": "605131249",
"telephone_number": "708-309-0915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORI MAREK-MCKILLOP",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-12",
"last_updated": "2010-01-12",
"status": "A",
"authorized_official_last_name": "MAREK-MCKILLOP",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "708-309-0915",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.S., L.C.P.C."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.006796",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.006796",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "IL",
"license": "180.006796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.