NPIMap

Organization Active NPI

Keys to Mindful Mending

  • Professional Counselor
  • Lake in the Hills, IL
National Provider Identifier
1083150635
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KEYS TO MINDFUL MENDING
Practice address
9113 Trinity Dr
Lake in the Hills, IL 60156-1668
Phone
(815) 527-1952
Fax
(224) 678-7535
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Cathleen M Mahony, LCPC, CADCNPI 1679950265
Title
Mental Health Provider
Phone
(815) 527-1952

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X IL
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X IL
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X IL
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X IL Primary

Addresses

Primary practice location

9113 Trinity Dr
Lake in the Hills, IL 60156-1668

Mailing address

1934 Ozark Pkwy
Algonquin, IL 60102-5436
Phone (815) 527-1952

National Provider Directory

National Provider Directory

Locations

9113 Trinity Dr
Lake in the Hills, IL 60156
Phone (847) 462-6099

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1083150635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 OZARK PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025436",
            "telephone_number": "815-527-1952",
            "fax_number": "224-678-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9113 TRINITY DR",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601561668",
            "telephone_number": "815-527-1952",
            "fax_number": "224-678-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS TO MINDFUL MENDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "MAHONY",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MENTAL HEALTH PROVIDER",
        "authorized_official_telephone_number": "815-527-1952",
        "authorized_official_credential": "LCPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.