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LISA ANNE BONG LCSW
NPI 1396132510
Counselor - Mental Health in Glen Ellyn, IL

Active since April 26, 2015
787 EUCLID AVE, GLEN ELLYN, IL 60137(630) 962-2515 Get Directions Write a Review

NPPES record last updated: April 26, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lisa Anne Bong Lcsw NPPES

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

LISA ANNE BONG LCSW (NPI 1396132510) is an individual mental health provider in Glen Ellyn, Illinois, licensed in Illinois (149004363) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1396132510
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA ANNE BONGCredential: LCSW
Location Address787 EUCLID AVEGlen Ellyn, IL 60137-3866
Mailing Address787 Euclid AveGlen Ellyn, IL 60137-3866 · (630) 962-2515
Phone(630) 962-2515
Sole ProprietorYes
Enumeration DateApril 26, 2015
✔ NPI 1396132510 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 · 149004363
787 EUCLID AVE, Glen Ellyn, IL 60137
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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 Lisa Bong's NPI number?

The NPI number for Lisa Bong is 1396132510. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Where is Lisa Bong located?

Lisa Bong practices at 787 Euclid Ave, Glen Ellyn, IL 60137. The listed phone number is (630) 962-2515.

What is Lisa Bong'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 Lisa Bong was last updated on April 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.