MEDICARE: THE ART OF LIVING COUNSELING CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YP2500X	Professional Counselor	IL
2	101YP2500X	Professional Counselor	IL
3	101YP2500X	Professional Counselor	IL
4	103T00000X	Psychologist	IL
5	101YP2500X	Professional Counselor	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2036825	OTHER	IL	CIGNA PROVIDER NUMBER
2	05632103	OTHER	IL	BCBS PROVIDER ID #

General Provider Information

NPI Number	:	1235253824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE ART OF LIVING COUNSELING CENTER, INC.

Provider Business Mailing Address
First Line	:	900 PYOTT RD
Second Line	:	SUITE 102
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8716
Country	:	US
Telephone Number	:	815-444-9076
Fax Number	:	815-444-9079

Provider Business Practice Location Address
First Line	:	900 PYOTT RD
Second Line	:	SUITE 102
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8716
Country	:	US
Telephone Number	:	815-444-9076
Fax Number	:	815-444-9079

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CYNTHIA LYNN MESMER
Credential	:	M.A., LCPC
Telephone Number	:	815-444-9076

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	09/11/2025

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