Active NPI
Kevin Curtis Watson, LPC
- Counselor
- Orland Park, IL
National Provider Identifier
1154689396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.003729
- Practice address
- 60 Orland Square Dr Ste 203
Orland Park, IL 60462-6523 - Phone
- (708) 364-7046
- Fax
- (708) 364-7048
- NPI assigned
- Apr 25, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.003729 | IL | Primary |
Addresses
Primary practice location
60 Orland Square Dr Ste 203
Orland Park, IL 60462-6523
Mailing address
60 Orland Square Dr Ste 203
Orland Park, IL 60462-6523
Phone (708) 364-7046
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 |
|---|---|---|---|
| 178.003729 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jal Psychological Services | Past | Accepting new patients | |
| Burkhardt Services LTD | Past | Accepting new patients |
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.
-
- Professional Counselor
- Orland Park, IL
- NPI 1285836247
-
- Adolescent and Children Mental Health Clinic/Center
- Orland Park, IL
- NPI 1093088676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1154689396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 ORLAND SQUARE DR STE 203",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604626523",
"telephone_number": "708-364-7046",
"fax_number": "708-364-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 ORLAND SQUARE DR STE 203",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604626523",
"telephone_number": "708-364-7046",
"fax_number": "708-364-7048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "KEVIN",
"middle_name": "CURTIS",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.003729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
- Anna Waring, DPT
- Washington & Jane Smith Community - Orland Park
- Washington and Jane Smith Community- Orland Park
- John A Wator, ATC
- Jonathan Watson, M.D.
- Janine Watters, MSN, APRN, PMHNP-BC
- Candice Watts, LPC NCC
- WCS Occupational Rehabilitation and Sports Medicine, Inc.
- Weil Foot and Ankle Institute LLC
- Stephanie M Weissmann, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.