LAURIE WALDENSTROM
NPI 1295618148
Counselor - Mental Health in Antioch, IL

Active since July 29, 2025
960 VICTORIA ST, ANTIOCH, IL 60002(224) 225-9486 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laurie Waldenstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURIE WALDENSTROM (NPI 1295618148) is an individual mental health provider in Antioch, Illinois, licensed in Illinois (178.021886) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1295618148
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURIE WALDENSTROM
Location Address960 VICTORIA STAntioch, IL 60002-1519
Mailing Address70 W Hague DrAntioch, IL 60002-2637 · (847) 838-0072
Sole ProprietorNo
Enumeration DateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
NPI 1295618148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 178.021886
960 VICTORIA ST, Antioch, IL 60002

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
960 VICTORIA ST
ANTIOCH, IL 60002
Social Worker
960 VICTORIA ST
ANTIOCH, IL 60002
Chiropractor
960 VICTORIA ST
ANTIOCH, IL 60002
Massage Therapist
960 VICTORIA ST
ANTIOCH, IL 60002
Chiropractor
960 VICTORIA ST
ANTIOCH, IL 60002
Counselor (Mental Health)
960 VICTORIA ST
ANTIOCH, IL 60002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurie Waldenstrom's NPI number?

The NPI number for Laurie Waldenstrom is 1295618148. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Where is Laurie Waldenstrom located?

Laurie Waldenstrom practices at 960 Victoria St, Antioch, IL 60002. The listed phone number is (224) 225-9486.

What is Laurie Waldenstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Laurie Waldenstrom was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.