MEDICARE: CATHAY LANCASTER LMFT

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	166.012188	IL

General Provider Information

NPI Number	:	1689525438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHAY LANCASTER LMFT

Provider Business Mailing Address
First Line	:	1169 S PLYMOUTH CT APT 410
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60605-2056
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5225 OLD ORCHARD RD STE 26A
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-1027
Country	:	US
Telephone Number	:	847-644-3211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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