Active NPI
Kathleen Check, PHD
- Professional Counselor
- Chicago, IL
National Provider Identifier
1033249107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-005374
- Practice address
- 405 N Wabash Ave Unit 1815
Chicago, IL 60611-5661 - Phone
- (312) 560-9375
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180-005374 | IL | |
| Mental Health Counselor | 101YM0800X | 39003527A | IN | |
| Professional Counselor | 101YP2500X | 180-005374 | IL | Primary |
Addresses
Primary practice location
405 N Wabash Ave Unit 1815
Chicago, IL 60611-5661
Mailing address
405 N Wabash Ave Unit 1815
Chicago, IL 60611-5661
Phone (312) 560-9375
Other practice location 1
6 Aspen Ln
Dune Acres, IN 46304-2973
Phone (312) 560-9375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001635069 | Other | IL | BCBS OF ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2025 through Jan 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003527A | IN | MD | Mental Health Counselor |
| 180-005374 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1033249107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N WABASH AVE UNIT 1815",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115661",
"telephone_number": "312-560-9375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N WABASH AVE UNIT 1815",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115661",
"telephone_number": "312-560-9375"
}
],
"practiceLocations": [
{
"address_1": "6 Aspen Ln",
"address_purpose": "LOCATION",
"city": "Dune Acres",
"state": "IN",
"postal_code": "463042973",
"country_code": "US",
"telephone_number": "312-560-9375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHECK",
"first_name": "KATHLEEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180-005374",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003527A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-005374",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "0001635069",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.