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LISA TAMAR PROVORNY L.C.P.C.
NPI 1518354331
Counselor in Chicago, IL

Active since April 20, 2015PECOS Enrolled
3320 W FOSTER AVE # 124, CHICAGO, IL 60625(773) 645-1443 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2022, Jun 14, 2021, Dec 9, 2020 and 2 more (5 updates tracked since 2020).

About Lisa Tamar Provorny L.c.p.c. NPPES

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

LISA TAMAR PROVORNY L.C.P.C. (NPI 1518354331) is an individual counselor in Chicago, Illinois, licensed in Illinois (180011361) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518354331
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA TAMAR PROVORNYCredential: L.C.P.C.
Location Address3320 W FOSTER AVE # 124Chicago, IL 60625-4813
Mailing Address3320 W Foster Ave # 124Chicago, IL 60625-4813 · (773) 645-1443
Phone(773) 645-1443
Sole ProprietorNo
Enumeration DateApril 20, 2015
Last NPPES UpdateMay 20, 20225 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1518354331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in IL · 180011361
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3320 W FOSTER AVE # 124, Chicago, IL 60625
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Tamar Provorny L.c.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

NEFESH COUNSELING, LLC
Counselor (Professional)
3320 W FOSTER AVE # 124
CHICAGO, IL 60625
Cook County (773) 645-1443
NOELLE RIZZIO
Counselor
3320 W FOSTER AVE # 124
CHICAGO, IL 60625
Cook County (773) 645-1443

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 Provorny's NPI number?

The NPI number for Lisa Provorny is 1518354331. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Lisa Provorny located?

Lisa Provorny practices at 3320 W Foster Ave # 124, Chicago, IL 60625. The listed phone number is (773) 645-1443.

What is Lisa Provorny's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Lisa Provorny enrolled in Medicare?

Yes. Lisa Provorny is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Provorny was last updated on May 20, 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.