JENNIFER LARA LCPC
NPI 1700115268
Counselor - Mental Health in Chicago, IL

NPI Status: Active since December 12, 2009

Contact Information

10725 S WESTERN AVE
2ND FLOOR
CHICAGO, IL
ZIP 60643
Phone: (773) 251-8016

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  • Individual
  • Female
  • Counselor
  • Mental Health
  • Opted-Out Medicare

About JENNIFER LARA

This page provides the complete NPI Profile along with additional information for Jennifer Lara, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1700115268 assigned on December 2009. The practitioner's primary taxonomy code is 101YM0800X with license number 180.007386 (IL). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1700115268
Provider Name
JENNIFER LARA LCPC
Gender
Female
Entity Type
Individual
Location Address
10725 S WESTERN AVE 2ND FLOOR CHICAGO, IL 60643
Location Phone
(773) 251-8016
Mailing Address
3770 W 75TH PL CHICAGO, IL 60652
Mailing Phone
(773) 251-8016
Is Sole Proprietor?
No
Enumeration Date
12-12-2009
Last Update Date
07-29-2010
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A mental health counselor like Jennifer Lara provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jennifer Lara opted out of Medicare effective on 03-21-2024 until 03-21-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
180.007386
License State
IL

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 03-21-2024

  • Opt-Out End Date: 03-21-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1700115268, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 0 + 0 + 2 + 1 + 1 + 0 + 2 + 1 + 2 + 24 = 42

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1700115268.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Social Worker (Clinical)
10725 S WESTERN AVE
CHICAGO, IL 60643
Counselor
10725 S WESTERN AVE, SECOND FLOOR
CHICAGO, IL 60643
Social Worker (Clinical)
10725 S WESTERN AVE, SECOND FLOOR
CHICAGO, IL 60643
Marriage & Family Therapist
10725 S WESTERN AVE
CHICAGO, IL 60643
Psychologist (Clinical)
10725 S WESTERN AVE
CHICAGO, IL 60643
Obstetrics & Gynecology
10725 S WESTERN AVE
CHICAGO, IL 60643
Social Worker (Clinical)
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Preferred Provider Organization
10725 S WESTERN AVE, 2ND. FLOOR
CHICAGO, IL 60643
Social Worker (Clinical)
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Counselor (Professional)
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Social Worker (Clinical)
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Social Worker (Clinical)
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Counselor (Professional)
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Counselor (Professional)
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Counselor (Professional)
10725 S WESTERN AVE
CHICAGO, IL 60643
Marriage & Family Therapist
10725 S WESTERN AVE
CHICAGO, IL 60643
Counselor (Addiction (Substance Use Disorder))
10725 S WESTERN AVE
CHICAGO, IL 60643
Social Worker (Clinical)
10725 S WESTERN AVE
CHICAGO, IL 60643
Clinic/Center (Mental Health (Including Community Mental Health Center))
10725 S WESTERN AVE
CHICAGO, IL 60643

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700115268, enumerated as an "individual" on December 12, 2009.

The provider is located at 10725 S WESTERN AVE 2ND FLOOR CHICAGO, IL 60643 and the phone number is (773) 251-8016.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.