Individual provider Active NPI

Catherine Lucaccioni

  • Counselor
  • Crystal Lake, IL
National Provider Identifier
1124988134
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178.022148 Issued in IL
Practice address
800 S McHenry Ave Ste F
Crystal Lake, IL 60014-7487
Phone
(815) 526-3750
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178.022148 IL Primary

Addresses

Primary practice location

800 S McHenry Ave Ste F
Crystal Lake, IL 60014-7487

Mailing address

800 S McHenry Ave Ste F
Crystal Lake, IL 60014-7487

Other practice location 1

3265 N Arlington Heights Rd Ste 301
Arlington Heights, IL 60004-1600
Phone (815) 526-3440

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
178.022148ILMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1124988134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE STE F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MCHENRY AVE STE F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147487",
            "telephone_number": "815-526-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3265 N Arlington Heights Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600041600",
            "country_code": "US",
            "telephone_number": "815-526-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCACCIONI",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.022148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.