Lariza Fenner-Lux

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180009362 Issued in IL

Practice address

4951 W Medill Ave
Chicago, IL 60639-3209

Phone

(773) 418-0164

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Professional

  NPD

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1902335714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 W MEDILL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 W MEDILL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393209",
            "telephone_number": "773-418-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNER-LUX",
        "first_name": "LARIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180009362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Fenio, PA-C
• Fenix Wellness, PLLC
• Michael Fenlon, M.D.
• Deborah Lynn Fenn, PSYD
• Jason G Fennema, D.C.
• Anna Fenner, MD
• Soreida Mamie Fennerr
• Michelle Margaret Fennessy, CNS, APN
• Samantha Mae Fenno, LCSW
• James Steven Fenoglio, MD

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.