Active NPI
Kandice Cardona
- Professional Counselor
- Joliet, IL
National Provider Identifier
1093007205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180007622
- Practice address
- 501 Ella Ave
Joliet, IL 60433-2799 - Phone
- (815) 727-8521
- NPI assigned
- May 5, 2011
- 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 | 180007622 | IL | Primary |
Addresses
Primary practice location
501 Ella Ave
Joliet, IL 60433-2799
Mailing address
433 Commons Cir
Clarendon Hills, IL 60514-2714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
124 SW Adams St
Peoria, IL 61602-1308
1640 1St Ave
Ottawa, IL 61350-9214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180007622 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1093007205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 COMMONS CIR",
"city": "CLARENDON HILLS",
"state": "IL",
"postal_code": "605142714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 ELLA AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604332799",
"telephone_number": "815-727-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDONA",
"first_name": "KANDICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-05",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180007622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
- Cardinal Sleep Centers of America LLP
- Cardiology Associates of Northern Illinois
- Cardiology Associates of Northern Illinois
- Cardiology Associates of Northern Illinois
- Cardiology Interpretation of Joliet
- Jazmin Lizette Cardoso, RN
- Judy Lau Carino, MSN,ANP,PMHNP,APRN
- Carol A Carli, PT
- Regina Carlson, LCPC
- John D Carney, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.