Individual provider Active NPI

Kathleen Sue Cherven, LCPC

  • Professional Counselor
  • Morris, IL
National Provider Identifier
1124417985
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007554 Issued in IL
Practice address
103 E Jefferson St
Morris, IL 60450-2101
Phone
(815) 735-8969
NPI assigned
Jan 16, 2015
Last updated
Dec 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180007554 IL
Professional Counselor 101YP2500X 180.007554 IL Primary

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 1

TypeEndpointUseAffiliation
CONNECT URL office

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180007554ILMDMental Health Counselor
180.007554ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1124417985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502101",
            "telephone_number": "815-735-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502101",
            "telephone_number": "815-735-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVEN",
        "first_name": "KATHLEEN",
        "middle_name": "SUE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180007554",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "103 E Jefferson St",
            "city": "Morris",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604502101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

Verify at the official NPI Registry.