Active NPI
Kris Sandra Wheatley, L.C.P.C.,N.C.C.
- Mental Health Counselor
- Naperville, IL
National Provider Identifier
1134417322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180..004231
- Practice address
- 511 Aurora Ave
Naperville, IL 60540 - Phone
- (630) 548-4086
- Fax
- (630) 548-4086
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180..004231 | IL | Primary |
Addresses
Primary practice location
511 Aurora Ave
Naperville, IL 60540
Mailing address
511 Aurora Ave
Naperville, IL 60540
Phone (630) 548-4086
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180..004231 | IL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1134417322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 AURORA AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-548-4086",
"fax_number": "630-548-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 AURORA AVE",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-548-4086",
"fax_number": "630-548-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATLEY",
"first_name": "KRIS SANDRA",
"name_prefix": "Mrs.",
"credential": "L.C.P.C.,N.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180..004231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.