Organization Active NPI

Robbin L Klein Counseling Services

  • Addiction (Substance Use Disorder) Counselor
  • Freeport, IL
National Provider Identifier
1093198491
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
149014030 Issued in IL
Legal business name
ROBBIN L KLEIN COUNSELING SERVICES
Practice address
524 W Stephenson St
Suite 209B
Freeport, IL 61032-5057
Phone
(815) 266-1166
NPI assigned
Jul 2, 2015
Last updated
Jul 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Authorized official

Name
Robbin L Klein, LCSWNPI 1851552384
Title
Owner
Phone
(815) 266-1166

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 149014030 IL Primary

Addresses

Primary practice location

524 W Stephenson St
Suite 209B
Freeport, IL 61032-5057

Mailing address

524 W Stephenson St
Suite 209B
Freeport, IL 61032-5057
Phone (815) 266-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160208001421 IL Part B Supplier - Clinic/Group Practice 8123322468 Receives reassigned benefits from 1 practitioner
Practice locations: Freeport, IL

National Provider Directory

National Provider Directory

Locations

524 W Stephenson St
Ste 209B
Freeport, IL 61032
Phone (815) 266-1166

524 W Stephenson St
Ste 245
Freeport, IL 61032
Phone (815) 266-1166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1093198491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W STEPHENSON ST",
            "address_2": "SUITE 209B",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325057",
            "telephone_number": "815-266-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W STEPHENSON ST",
            "address_2": "SUITE 209B",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610325057",
            "telephone_number": "815-266-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBIN L KLEIN COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-266-1166",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "149014030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.