Individual provider Active NPI

Lora Slutsky, LCPC

  • Professional Counselor
  • Evanston, IL
National Provider Identifier
1912532672
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.012593 Issued in IL
Practice address
2020 Dempster St
Evanston, IL 60202-1017
Phone
(847) 905-0702
NPI assigned
Mar 3, 2020
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.012593 IL Primary

Addresses

Primary practice location

2020 Dempster St
Evanston, IL 60202-1017

Mailing address

420 W Aldine Ave Apt 421
Chicago, IL 60657-3646
Phone (847) 404-2558

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122003524 IL Practitioner - Mental Health Counselor 1759810617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Have DreamsGroup PAC ID 2769911627, 2 clinicians

Practice addresses (Care Compare)

2020 Dempster St
Evanston, IL 60202-1017
Phone (847) 902-0702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.012593ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Have Dreams CurrentSince Jan 8, 2025 Accepting new patients

Locations

2020 Dempster St
Evanston, IL 60202
Phone (847) 902-0702

515 Busse Hwy
Ste 150
Park Ridge, IL 60068
Phone (847) 685-0250

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1912532672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ALDINE AVE APT 421",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573646",
            "telephone_number": "847-404-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021017",
            "telephone_number": "847-905-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUTSKY",
        "first_name": "LORA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.