Individual provider Active NPI

Lynn Buck, LCPC

  • Mental Health Counselor
  • Plainfield, IL
National Provider Identifier
1982246294
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178015209 Issued in IL
Practice address
24047 W Lockport St Ste 201G
Plainfield, IL 60544-1680
Phone
(815) 531-4556
NPI assigned
Oct 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178015209 IL Primary

Addresses

Primary practice location

24047 W Lockport St Ste 201G
Plainfield, IL 60544-1680

Mailing address

310 Drewsbury LN
Romeoville, IL 60446-1784
Phone (815) 531-4556

Other identifiers 1

IdentifierTypeStateIssuer
178015209OtherILIDFPR

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
I20241218002584 IL Practitioner - Mental Health Counselor 7810424660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24047 W Lockport St
Suite 201G
Plainfield, IL 60544-1680
Phone (815) 531-4556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178015209ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Stages Counseling PLLC Mental Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

24047 W Lockport St
Ste 201G
Plainfield, IL 60544
Phone (815) 531-4556

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1982246294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 DREWSBURY LN",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604461784",
            "telephone_number": "815-531-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24047 W LOCKPORT ST STE 201G",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441680",
            "telephone_number": "815-531-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178015209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "178015209",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.