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

Active since December 12, 2009Opted out of Medicare · through Mar 21, 2028
10725 S WESTERN AVE, 2ND FLOOR, CHICAGO, IL 60643(773) 251-8016 Get Directions Write a Review

NPPES record last updated: July 29, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Lara Lcpc NPPES

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

JENNIFER LARA LCPC (NPI 1700115268) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180.007386) and active in the NPI registry since December 2009. She has opted out of Medicare through March 21, 2028.

NPPES Registry Identity

NPI1700115268
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER LARACredential: LCPC
Location Address10725 S WESTERN AVE, 2ND FLOORChicago, IL 60643-3135
Mailing Address3770 W 75th PlChicago, IL 60652-1337 · (773) 251-8016
Phone(773) 251-8016
Sole ProprietorNo
Enumeration DateDecember 12, 2009
Last NPPES UpdateJuly 29, 2010
✔ NPI 1700115268 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 · 180.007386
10725 S WESTERN AVE, Chicago, IL 60643
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer Lara 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 March 21, 2024 through March 21, 2028.

Opt-Out Effective DateMarch 21, 2024
Opt-Out In Effect ThroughMarch 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MS. PATRICIA JOAN HARTHUN L.C.P.C., C.A.D.C.
Counselor
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Cook County (312) 835-7976
MS. JO ANNE SMITH MSW LCSW
Social Worker (Clinical)
10725 S WESTERN AVE
CHICAGO, IL 60643
Cook County (773) 415-2204
MS. THERESE M DONNERS LCPC
Counselor
10725 S WESTERN AVE, SECOND FLOOR
CHICAGO, IL 60643
Cook County (773) 445-9848
JOHN ANDRICH LCSW
Social Worker (Clinical)
10725 S WESTERN AVE, SECOND FLOOR
CHICAGO, IL 60643
Cook County (708) 769-5768
KRISTINE OLIVAS
Marriage & Family Therapist
10725 S WESTERN AVE
CHICAGO, IL 60643
Cook County (773) 957-5352
DR. LORRAINE A DANIEL PSY.D.
Psychologist (Clinical)
10725 S WESTERN AVE
CHICAGO, IL 60643
Cook County (773) 405-7449
NANCY R G CHURCH MD LLC
Obstetrics & Gynecology
10725 S WESTERN AVE
CHICAGO, IL 60643
Cook County (773) 233-6500
MRS. MICHELLE WOOD LCSW
Social Worker (Clinical)
10725 S WESTERN AVE, 2ND FLOOR
CHICAGO, IL 60643
Cook County (773) 373-3772

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 Jennifer Lara's NPI number?

The NPI number for Jennifer Lara is 1700115268. It was assigned to this individual provider in the NPPES registry on December 12, 2009.

Where is Jennifer Lara located?

Jennifer Lara practices at 10725 S Western Ave 2nd Floor, Chicago, IL 60643. The listed phone number is (773) 251-8016.

What is Jennifer Lara's specialty?

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

Is Jennifer Lara enrolled in Medicare?

No. Jennifer Lara has opted out of Medicare through March 21, 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 Jennifer Lara was last updated on July 29, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.