Active NPI
David Raymond Laurich, LCPC
- Mental Health Counselor
- Lisle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.015537
- Practice address
- 1500 Eisenhower LN Ste 900
Lisle, IL 60532-2135 - Phone
- (630) 428-7890
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.015537 | IL | Primary |
Addresses
Primary practice location
1500 Eisenhower LN Ste 900
Lisle, IL 60532-2135
Mailing address
16723 S Sunset Ridge CT
Lockport, IL 60441-7677
Phone (815) 474-6657
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Eisenhower LN
Unit E
Lisle, IL 60532-2125
Phone (888) 428-7890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.015537 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Mental Health | Current | Accepting new patients |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients | |
| Psychology Specialists LTD | Counselor | Past | Accepting new patients |
Locations
808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007
1500 Eisenhower Ln
Unit E
Lisle, IL 60532
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1366784837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782518400000",
"number": "1932970324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16723 S SUNSET RIDGE CT",
"city": "LOCKPORT",
"state": "IL",
"postal_code": "604417677",
"telephone_number": "815-474-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 EISENHOWER LN STE 900",
"city": "LISLE",
"state": "IL",
"postal_code": "605322135",
"telephone_number": "630-428-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURICH",
"first_name": "DAVID",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-15",
"last_updated": "2026-06-27",
"certification_date": "2026-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.015537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.