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LAURA ROMAN LCPC
NPI 1508394107
Counselor - Mental Health in Grayslake, IL

Active since May 25, 2017Opted out of Medicare · through Feb 19, 2028
34121 N US HIGHWAY 45 STE 221, GRAYSLAKE, IL 60030(224) 424-0185 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 19, 2022, May 25, 2017 (2 updates tracked since 2017).

About Laura Roman Lcpc NPPES

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

LAURA ROMAN LCPC (NPI 1508394107) is an individual mental health provider in Grayslake, Illinois, licensed in Illinois (180.013283) and active in the NPI registry since May 2017. She has opted out of Medicare through February 19, 2028.

NPPES Registry Identity

NPI1508394107
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURA ROMANCredential: LCPC
Location Address34121 N US HIGHWAY 45 STE 221Grayslake, IL 60030-1774
Mailing Address100 N Waukegan Rd Ste 204Lake Bluff, IL 60044-1660 · (224) 424-0185
Phone(224) 424-0185
Sole ProprietorNo
Enumeration DateMay 25, 2017
Last NPPES UpdateApril 19, 20222 updates tracked since enumeration
NPPES CertifiedApril 19, 2022
✔ NPI 1508394107 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 · 180.013283
34121 N US HIGHWAY 45 STE 221, Grayslake, IL 60030
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Other Names 1

Former Name (1)Laura Reimer Lcpc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura Roman Lcpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 19, 2024 through February 19, 2028.

Opt-Out Effective DateFebruary 19, 2024
Opt-Out In Effect ThroughFebruary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Laura Roman's NPI number?

The NPI number for Laura Roman is 1508394107. It was assigned to this individual provider in the NPPES registry on May 25, 2017. The provider is also known as Laura Reimer Lcpc.

Where is Laura Roman located?

Laura Roman practices at 34121 N Us Highway 45 Ste 221, Grayslake, IL 60030. The listed phone number is (224) 424-0185.

What is Laura Roman's specialty?

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

Is Laura Roman enrolled in Medicare?

No. Laura Roman has opted out of Medicare through February 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Roman was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.