Lake County Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LAKE COUNTY COUNSELING CENTER

Practice address

34121 N US Highway 45 Ste 210
Grayslake, IL 60030-1774

Phone

(224) 544-9749

NPI assigned

Nov 22, 2020

Organization subpart

No

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

Authorized official

Name

Maritza Solis, LCSWNPI 1972967727

Title

Senior Therapist

Phone

(224) 544-9749

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maritza Solis, MSW, LCSW

  • Clinical Social Worker
  • Waukegan, IL
  • NPI 1972967727
  NPD Authorized official

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606003200000",
    "number": "1972107837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1758 N BALDWIN AVE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600858703",
            "telephone_number": "847-561-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34121 N US HIGHWAY 45 STE 210",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600301774",
            "telephone_number": "224-544-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE COUNTY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "SENIOR THERAPIST",
        "authorized_official_telephone_number": "224-544-9749",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Theranest",
            "affiliation": "N",
            "endpointDescription": "An online EHR system used for mental/behavioral health therapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "34121 N US Highway 45 Ste 210",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600301774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Kujak, OTR/L
• Amanda R Kuntz, MS, ATC
• Katie Kurtz
• Hailey M Kwak, APRN FNP-BC
• Julie Kwasiborski
• Lake County Physical Medicine, S.C.
• Lake Forest Endoscopy Center LLC
• Lake Medical Clinic SC
• Lee Anne Lamadrid, LCSW
• Mitchell Lambert

• Clinical Social Worker in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.