Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053552711 Individual Practitioner Female Practitioner

Theresa Vaccariello Lawrence , LCPC

Counselor - Professional • Normal, IL

Professional Overview & Biography Verified Profile Summary

Theresa Lawrence, LCPC is a registered healthcare professional specializing in Counselor - Professional in Normal, IL. Practice services are available at 612 OGLESBY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

612 Oglesby Ave

Normal, IL 617611888

Telephone 3095571124
Associated Practice Facility / Clinic
🏢 Amie Smith Counseling Pllc Facility NPI 1114699188

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Normal, IL (9683 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180004147

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Mary Ann Pullin , LCSW

Social Worker - Clinical

NPI 1033391495

Licensed Clinical Social Worker

Karen Blum , LCSW

Social Worker - Clinical

NPI 1366684763

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 10, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2009

Registered at 612 OGLESBY AVE, NORMAL, IL 617611888 (Tel: 3095571124)

📍
Updated Business Mailing Address March 10, 2009

Registered at 1100 BEECH ST, BLDG 7, NORMAL, IL 617611493 (Tel: 3095571124)

👤
Provider Name / Credentials Updated March 10, 2009

Recorded as THERESA LAWRENCE, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2009

Counselor (License #180004147 in IL)

🟢
Initial NPI Registration & Enumeration March 10, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053552711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2009
Last Update: March 10, 2009
Sole Proprietor: No

Mailing Address

1100 Beech St, Bldg 7

Normal, IL 617611493

Phone: 3095571124

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.