Individual provider Active NPI

Keren Hapuc Cardenas

  • Marriage & Family Therapist
  • Naperville, IL
National Provider Identifier
1154618544
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166.001515 Issued in IL
Practice address
1809 N Mill St Ste G
Naperville, IL 60563-4867
Phone
(331) 575-5035
Fax
(224) 653-8910
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 166.001515 IL
Marriage & Family Therapist 106H00000X 166.001515 IL Primary

Addresses

Primary practice location

1809 N Mill St Ste G
Naperville, IL 60563-4867

Mailing address

220 S Commonwealth Ave
Aurora, IL 60506-4818
Phone (331) 575-5035

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
166.001515ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Voice of Hope Inc Current Accepting new patients
Encompass Counseling Center LLC Mental Health PastSince Jul 10, 2022 Accepting new patients
Community Research Foundation Past Accepting new patients

Organizations & group practices 3

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1154618544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S COMMONWEALTH AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064818",
            "telephone_number": "331-575-5035",
            "fax_number": "224-653-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 N MILL ST STE G",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634867",
            "telephone_number": "331-575-5035",
            "fax_number": "224-653-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "KEREN",
        "middle_name": "HAPUC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "166.001515",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001515",
            "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 7, 2022; 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.