Active NPI
Karine Ivy, LCPC
- Mental Health Counselor
- Glen Ellyn, IL
National Provider Identifier
1063283901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.015187
- Practice address
- 516 N Main St Ste C
Glen Ellyn, IL 60137-5175 - Phone
- (630) 220-6919
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.015187 | IL | Primary |
Addresses
Primary practice location
516 N Main St Ste C
Glen Ellyn, IL 60137-5175
Mailing address
1604 Lonsdale Ave Apt 206
Naperville, IL 60540-5145
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.015187 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1063283901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 LONSDALE AVE APT 206",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 N MAIN ST STE C",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375175",
"telephone_number": "630-220-6919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVY",
"first_name": "KARINE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.015187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Ellyn, IL
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- Charles R Ireland, DO
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- Irish Eyes LLC (DuPage Family Eye Care)
- J. Howard and Associates, Inc. (The Center for Optimal Living)
- Kristen A. Jacobs, MSW, LSW
- Judy Ann Jakuszewski, PHARMD.
- Shaukat Jamal, MD
- Walter G Janis, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.