Individual provider Active NPI

Kathryn J Frank, LCPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1124660576
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.012536 Issued in IL
Practice address
2641 W Augusta Blvd Apt 3F
Chicago, IL 60622-4584
Phone
(989) 708-9839
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.012536 IL Primary

Addresses

Primary practice location

2641 W Augusta Blvd Apt 3F
Chicago, IL 60622-4584

Mailing address

2641 W Augusta Blvd Apt 3F
Chicago, IL 60622-4584
Phone (989) 708-9839

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
180.012536ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tazwood Mental Health Center, Inc. Mental Health Current Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients

Locations

3248 Vandever Ave
Pekin, IL 61554
Phone (309) 347-5522

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1124660576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 W AUGUSTA BLVD APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224584",
            "telephone_number": "989-708-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 W AUGUSTA BLVD APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224584",
            "telephone_number": "989-708-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANK",
        "first_name": "KATHRYN",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.