Kathleen Brink, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.005375 Issued in IL

Practice address

428 S 36TH St
Quincy, IL 62301-5924

Phone

(217) 224-6300

Fax

(217) 224-4329

NPI assigned

Nov 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1154873305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S 36TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015924",
            "telephone_number": "217-224-6300",
            "fax_number": "217-224-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S 36TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015924",
            "telephone_number": "217-224-6300",
            "fax_number": "217-224-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "KATHLEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.005375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Brei, O.D.
• Ryan Patrick Brennan, M.D
• Matthew Brewer, MD
• Hannah Marie Brice, CPHT
• Megan Sue Bridgeman, FNP-C
• Lindsay M Brink, D.O.
• Matthew T. Brink, DO
• Broadway Vision Center
• Whitney Brock
• Ashley N. Brown, CNP

• Professional Counselor in Quincy, IL
• Providers in Quincy, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.