Active NPI
Kara Anast
- Psychologist
- Libertyville, IL
National Provider Identifier
1083016117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 180009299
- Practice address
- 31480 N US Highway 45
Libertyville, IL 60048-9444 - Phone
- (847) 680-2715
- Fax
- (847) 680-3832
- NPI assigned
- Sep 19, 2014
- Last updated
- Sep 19, 2014
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 180009299 | IL | Primary |
Addresses
Primary practice location
31480 N US Highway 45
Libertyville, IL 60048-9444
Mailing address
31480 N US Highway 45
Libertyville, IL 60048-9444
Phone (847) 680-2715
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 |
|---|---|---|---|
| 180009299 | IL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Connection Inc. | Psychologist | Past | 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, 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": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1083016117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31480 N US HIGHWAY 45",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600489444",
"telephone_number": "847-680-2715",
"fax_number": "847-680-3832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31480 N US HIGHWAY 45",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600489444",
"telephone_number": "847-680-2715",
"fax_number": "847-680-3832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAST",
"first_name": "KARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "180009299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.