Active NPI
Kristi Linke, LPC
- Professional Counselor
- Shorewood, IL
National Provider Identifier
1114244506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178006610
- Practice address
- 621 Rollingwood Dr
Shorewood, IL 60404-0665 - Phone
- (815) 725-5188
- Fax
- (815) 725-7550
- NPI assigned
- Apr 26, 2010
- Last updated
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 178006610 | IL | Primary |
Addresses
Primary practice location
621 Rollingwood Dr
Shorewood, IL 60404-0665
Mailing address
21998 Heritage Drive
Frankfrot, IL 60423
Phone (815) 919-2755
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178006610 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1114244506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21998 HERITAGE DRIVE",
"city": "FRANKFROT",
"state": "IL",
"postal_code": "60423",
"telephone_number": "815-919-2755",
"fax_number": "815-919-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 ROLLINGWOOD DR",
"city": "SHOREWOOD",
"state": "IL",
"postal_code": "604040665",
"telephone_number": "815-725-5188",
"fax_number": "815-725-7550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINKE",
"first_name": "KRISTI",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178006610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shorewood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.