DR. LARA BEANBLOSSOM, LLC
NPI 1497036321
Psychologist - Clinical in Chicago, IL

Q: What is Dr. Lara Beanblossom, LLC's NPI number?

The NPI number for Dr. Lara Beanblossom, LLC is 1497036321. It was assigned to this organization in the NPPES registry on September 6, 2011.

Q: What is Dr. Lara Beanblossom, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 06, 2011

30 N MICHIGAN AVE, SUITE 1004, CHICAGO, IL 60602(312) 385-9777 Get Directions Write a Review

NPPES record last updated: July 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lara Beanblossom, Llc NPPES

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

DR. LARA BEANBLOSSOM, LLC (NPI 1497036321) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since September 2011. The organization lists Lara Beanblossom, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1497036321

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDR. LARA BEANBLOSSOM, LLC

Location Address30 N MICHIGAN AVE, SUITE 1004Chicago, IL 60602-3402

Mailing Address30 N Michigan Ave, Suite 1004Chicago, IL 60602-3402 · (312) 385-9777

Phone(312) 385-9777

Organization SubpartNo

Authorized OfficialLara BeanblossomLicensed Clinical Psychologist · (312) 385-9777

Enumeration DateSeptember 6, 2011

Last NPPES UpdateJuly 13, 2015

✔ NPI 1497036321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071.006369

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

30 N MICHIGAN AVE, Chicago, IL 60602

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

TIMOTHY M. CROWE DMD PC

Dentist (General Practice)

30 N MICHIGAN AVE, SUITE 1329
CHICAGO, IL 60602

Cook County (312) 782-2844

AYESHA SIDDIQI M.D.

Allergy & Immunology

30 N MICHIGAN AVE, #1107
CHICAGO, IL 60602

Cook County (312) 236-3642

SUSAN LYNN PELTON PH.D.

Psychologist (Clinical)

30 N MICHIGAN AVE, SUITE 1703
CHICAGO, IL 60602

Cook County (312) 909-9699

MS. BETTY B. SMITH LCSW, BCD

Social Worker (Clinical)

30 N MICHIGAN AVE, SUITE 1518
CHICAGO, IL 60602

Cook County (312) 201-1301

DR. KEVIN D DOW D.D.S

Dentist (General Practice)

30 N MICHIGAN AVE, SUITE #1506
CHICAGO, IL 60602

Cook County (312) 372-4845

MARYSUE MASTEY LCPC

Counselor (Professional)

30 N MICHIGAN AVE, SUITE 1002
CHICAGO, IL 60602

Cook County (847) 302-8647

DR. NADIA PERSHAD PSY.D.

Psychologist (Clinical)

30 N MICHIGAN AVE, SUITE 1203
CHICAGO, IL 60602

Cook County (773) 495-8905

MRS. ERINN WILLIAMS LPC

Counselor (Professional)

30 N MICHIGAN AVE, SUITE 424
CHICAGO, IL 60602

Cook County (312) 279-9981

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 Dr. Lara Beanblossom, LLC's NPI number?

The NPI number for Dr. Lara Beanblossom, LLC is 1497036321. It was assigned to this organization in the NPPES registry on September 6, 2011.

Where is Dr. Lara Beanblossom, LLC located?

Dr. Lara Beanblossom, LLC is located at 30 N Michigan Ave Suite 1004, Chicago, IL 60602. The listed phone number is (312) 385-9777.

What is Dr. Lara Beanblossom, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Dr. Lara Beanblossom, LLC was last updated on July 13, 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.