Kristina Marie Billadeau, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.019756 Issued in IL

Practice address

1137 E 5000N Rd
Bourbonnais, IL 60914-4229

Phone

(815) 216-9025

NPI assigned

Feb 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1114781101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N CLINTON AVE",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151714",
            "telephone_number": "815-955-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 E 5000N RD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144229",
            "telephone_number": "815-216-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLADEAU",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.019756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Blank Canvas Counseling Co

• Professional Counselor in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.