Active NPI
Kathryn S. Kirk
- Professional Counselor
- Elk Grove Village, IL
National Provider Identifier
1053708255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008819
- Practice address
- 1100 Landmeier Rd
#202
Elk Grove Village, IL 60007-2419 - Phone
- (847) 343-6338
- NPI assigned
- Apr 25, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180008819 | IL | Primary |
Addresses
Primary practice location
1100 Landmeier Rd
#202
Elk Grove Village, IL 60007-2419
Mailing address
1100 Landmeier Rd
#202
Elk Grove Village, IL 60007-2419
Phone (847) 343-6338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180008819 | IL | MD | Professional Counselor |
Interoperability endpoints
- kathryn.kirk.1@21300.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430006400000",
"number": "1053708255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LANDMEIER RD",
"address_2": "#202",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600072419",
"telephone_number": "847-343-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LANDMEIER RD",
"address_2": "#202",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600072419",
"telephone_number": "847-343-6338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRK",
"first_name": "KATHRYN",
"middle_name": "S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-25",
"last_updated": "2015-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180008819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.