Individual provider Active NPI

Kelly Kathleen Knapczyk, LCPC

  • Professional Counselor
  • Oak Lawn, IL
National Provider Identifier
1104004142
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4321 W 95TH St
Oak Lawn, IL 60453-2617
Phone
(708) 499-8033
Fax
(708) 499-8033
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

4321 W 95TH St
Oak Lawn, IL 60453-2617

Mailing address

4321 W 95TH St
Oak Lawn, IL 60453-2617
Phone (708) 499-8033

Other names 1

  • Kelly Kathleen Durnell Former name

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

LicenseStateTypeSpecialty
180-005950ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Enrichment Center Professional 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1104004142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532617",
            "telephone_number": "708-499-8033",
            "fax_number": "708-433-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532617",
            "telephone_number": "708-499-8033",
            "fax_number": "708-499-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPCZYK",
        "first_name": "KELLY",
        "middle_name": "KATHLEEN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "DURNELL",
            "middle_name": "KATHLEEN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.