Organization Active NPI

Karen Woodnorth, P.C.

  • Professional Counselor
  • Libertyville, IL
National Provider Identifier
1124565809
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006387 Issued in IL
Legal business name
KAREN WOODNORTH, P.C.
Practice address
1580 S Milwaukee Ave
Suite 407
Libertyville, IL 60048-3764
Phone
(312) 339-9493
Fax
(847) 214-1385
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Karen Woodnorth, L.C.P.C.NPI 1780869362
Title
President
Phone
(312) 339-9493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180006387 IL Primary

Addresses

Primary practice location

1580 S Milwaukee Ave
Suite 407
Libertyville, IL 60048-3764

Mailing address

1565 N Saint Marks PL
Palatine, IL 60067-8690
Phone (312) 339-9493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409003622 IL Part B Supplier - Clinic/Group Practice 0840638854 Receives reassigned benefits from 1 practitioner
Practice locations: Libertyville, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1124565809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 N SAINT MARKS PL",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600678690",
            "telephone_number": "312-339-9493",
            "fax_number": "847-214-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 S MILWAUKEE AVE",
            "address_2": "SUITE 407",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483764",
            "telephone_number": "312-339-9493",
            "fax_number": "847-214-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN WOODNORTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "WOODNORTH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-339-9493",
        "authorized_official_credential": "L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006387",
            "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 Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.