Kathleen Sue Cherven, LCPC
Individual provider Active NPI Professional Counselor · Morris, IL
NPI 1124417985 · NPPES record last updated Dec 31, 2021
Key facts
- NPI
- 1124417985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.007554 (IL)
- Practice address
- 103 E Jefferson St
Morris, IL 60450-2101 - Phone
- (815) 735-8969
- NPI assigned
- Jan 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.007554 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180007554 | IL | |
| Professional Counselor | 101YP2500X | 180.007554 | IL | Yes |
Addresses
Primary practice location
103 E Jefferson St
Morris, IL 60450-2101
Mailing address
103 E Jefferson St
Morris, IL 60450-2101
Phone (815) 735-8969
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | office |
Other providers in Morris, IL
- Sara Channell
- Andrea L Chen
- Horner Chen Jr.
- Suzan S Cheng
- Mary T. Cherian
- Chicago Spine and Joint, S.C.
- Joongsik Y Cho
- Lisa Ann Ciucci O'Grady
- Kendall Claire
- Rachel L Colby
All providers in Morris, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.