Active NPI
Lauren Simpson
- Behavior Analyst
- Flossmoor, IL
National Provider Identifier
1891164133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 19530 Kezie Avenue
Flossmoor, IL 60422 - Phone
- (708) 799-2200
- NPI assigned
- Sep 16, 2015
- Last updated
- Nov 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
19530 Kezie Avenue
Flossmoor, IL 60422
Mailing address
8931 Huron Street
Thornton, CO 80260
Phone (303) 853-3500
Other names 1
- Lauren Wetzel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2024 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1891164133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8931 HURON STREET",
"city": "THORNTON",
"state": "CO",
"postal_code": "80260",
"telephone_number": "303-853-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19530 KEZIE AVENUE",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "60422",
"telephone_number": "708-799-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "WETZEL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.