Active NPI
Lisa Rebecca Korach, LMFT
- Marriage & Family Therapist
- Chicago, IL
National Provider Identifier
1982906491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000815
- Practice address
- 333 W. Hubbard St.
#522
Chicago, IL 60654 - Phone
- (847) 977-7782
- NPI assigned
- Dec 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.000815 | IL | Primary |
Addresses
Primary practice location
333 W. Hubbard St.
#522
Chicago, IL 60654
Mailing address
333 W Hubbard St Apt 522
Chicago, IL 60654-4970
Phone (847) 977-7782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166.000815 | IL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1982906491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W HUBBARD ST APT 522",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606544970",
"telephone_number": "847-977-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W. HUBBARD ST.",
"address_2": "#522",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60654",
"telephone_number": "847-977-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORACH",
"first_name": "LISA",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.