Organization Active NPI

Lori Marek-McKillop

  • Professional Counselor
  • Brookfield, IL
National Provider Identifier
1891025995
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.006796 Issued in IL
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

Updated by the provider on Jan 12, 2010

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180.006796 IL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.006796 IL Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.