Individual provider Active NPI

Kaitlyn Rinke, LCPC

  • Professional Counselor
  • Ottawa, IL
National Provider Identifier
1003321290
Registry record updated Dec 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.011125 Issued in IL
Practice address
727 E Etna Rd
Ottawa, IL 61350-1040
Phone
(815) 434-4727
NPI assigned
Dec 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.011125 IL Primary

Addresses

Primary practice location

727 E Etna Rd
Ottawa, IL 61350-1040

Mailing address

8112 Flagstone St
Joliet, IL 60431-8483
Phone (815) 274-0366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 14, 2024 through Apr 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.011125ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guiding Solutions Counseling, PLLC Professional CurrentSince Sep 29, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512864000000",
    "number": "1003321290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 FLAGSTONE ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318483",
            "telephone_number": "815-274-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E ETNA RD",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501040",
            "telephone_number": "815-434-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINKE",
        "first_name": "KAITLYN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-10",
        "last_updated": "2017-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.011125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

Verify at the official NPI Registry.