Individual provider Active NPI

Kathryn Perkins

  • Social Worker
  • Oak Park, IL
National Provider Identifier
1124904073
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.117-36 Issued in IL
Practice address
1011 Lake St Ste 307
Oak Park, IL 60301-1138
Phone
(872) 395-8091
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.117-36 IL Primary

Addresses

Primary practice location

1011 Lake St Ste 307
Oak Park, IL 60301-1138

Mailing address

5214 S Woodlawn Ave Apt 210
Chicago, IL 60615-4425
Phone (571) 201-9142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.117-36ILMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cira Center for Behavioral Health PC CurrentSince Aug 17, 2025 Accepting new patients

Locations

1011 Lake St
Ste 307
Oak Park, IL 60301
Phone (872) 395-8091

Organizations & group practices 1

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": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1124904073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 S WOODLAWN AVE APT 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154425",
            "telephone_number": "571-201-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 LAKE ST STE 307",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011138",
            "telephone_number": "872-395-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.117-36",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.