Provider Demographics
NPI:1487819389
Name:BARON COUNSELING AND CONSULTING, INC.
Entity Type:Organization
Organization Name:BARON COUNSELING AND CONSULTING, INC.
Other - Org Name:LISA BARON, LCSW
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT - CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:847-272-5329
Mailing Address - Street 1:1535 LAKE RD.
Mailing Address - Street 2:112 NORTHBROOK COURT PLAZA
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062
Mailing Address - Country:US
Mailing Address - Phone:847-272-5329
Mailing Address - Fax:847-272-5342
Practice Address - Street 1:1535 LAKE RD.
Practice Address - Street 2:112 NORTHBROOK COURT PLAZA
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062
Practice Address - Country:US
Practice Address - Phone:847-272-5329
Practice Address - Fax:847-272-5342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490030041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4905012OtherBCBS