Individual provider Active NPI

Lakecia Barrett, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, IL
National Provider Identifier
1891475471
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209027486 Issued in IL
Practice address
4050 Healthway Dr Ste 140
Aurora, IL 60504-8184
Phone
(815) 409-5117
NPI assigned
Jul 19, 2023
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209027486 IL Primary

Addresses

Primary practice location

4050 Healthway Dr Ste 140
Aurora, IL 60504-8184

Mailing address

4050 Healthway Dr Ste 140
Aurora, IL 60504-8184
Phone (815) 409-5117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116001390 IL Practitioner - Nurse Practitioner 1951758754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians
Tabs Behavioral Health IncGroup PAC ID 7517344633, 9 clinicians

Practice addresses (Care Compare)

355 Ridge Ave
Evanston, IL 60202-3328
Phone (818) 518-9715

4050 Healthway Dr
Suite 140
Aurora, IL 60504-8184
Phone (815) 409-5117

500 W Court St
Kankakee, IL 60901-3661
Phone (818) 518-9715

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (818) 518-9715

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209027486ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tabs Behavioral Health Inc Psychiatric/Mental Health CurrentSince Oct 15, 2023 Accepting new patients
MD Medical, LLC CurrentSince Jul 23, 2023 Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Mar 9, 2025 Accepting new patients

Locations

2393 Townsgate Rd
Ste 104
Westlake Village, CA 91361
Phone (805) 601-5199

4050 Healthway Dr
Ste 140
Aurora, IL 60504
Phone (630) 318-3355

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1891475471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR STE 140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048184",
            "telephone_number": "815-409-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR STE 140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048184",
            "telephone_number": "815-409-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "LAKECIA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209027486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.