Individual provider Active NPI

Kathryn Lesley Ditch, M.S., L.M.F.T

  • Marriage & Family Therapist
  • St Charles, IL
National Provider Identifier
1063716074
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000795 Issued in IL
Practice address
226 State St
St Charles, IL 60174-1864
Phone
(630) 587-3777
NPI assigned
Jan 5, 2011
Last updated
Feb 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166000795 IL Primary

Addresses

Primary practice location

226 State St
St Charles, IL 60174-1864

Mailing address

425 S 6TH St
St Charles, IL 60174-2714
Phone (630) 584-6015

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
166000795ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Counseling Center PC PastSince May 23, 2017 Accepting new patients
Riverview Counseling Services, LTD. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1063716074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S 6TH ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742714",
            "telephone_number": "630-584-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 STATE ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741864",
            "telephone_number": "630-587-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITCH",
        "first_name": "KATHRYN",
        "middle_name": "LESLEY",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.