Individual provider Active NPI

Kristin Hall Sliwicki, LCPC, LMFT

  • Marriage & Family Therapist
  • Libertyville, IL
National Provider Identifier
1104881275
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166-000660 Issued in IL
Practice address
1580 S Milwaukee Ave Ste 504
Libertyville, IL 60048-3776
Phone
(847) 567-1448
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-004009 IL
Marriage & Family Therapist 106H00000X 166-000660 IL Primary

Addresses

Primary practice location

1580 S Milwaukee Ave Ste 504
Libertyville, IL 60048-3776

Mailing address

1580 S Milwaukee Ave Ste 504
Libertyville, IL 60048-3776
Phone (847) 567-1448

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
180-004009ILMDProfessional Counselor
166-000660ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1104881275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE STE 504",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483776",
            "telephone_number": "847-567-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE STE 504",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483776",
            "telephone_number": "847-567-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIWICKI",
        "first_name": "KRISTIN",
        "middle_name": "HALL",
        "name_prefix": "Ms.",
        "credential": "LCPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004009",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166-000660",
            "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 Jun 23, 2020; 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.