Kristin Rinkenberger, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012769 Issued in IL

Practice address

24100 Cooper Rd
Morton, IL 61550-9498

Phone

(309) 696-8123

NPI assigned

Apr 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Integrated Family Therapy of Illinois, PLLC

  • Professional Counselor
  • Morton, IL
  • NPI 1538784624
  NPD Authorized official

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1194344960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 COOPER RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615509498",
            "telephone_number": "309-696-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 COOPER RD",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615509498",
            "telephone_number": "309-696-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINKENBERGER",
        "first_name": "KRISTIN",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "3128809232",
            "affiliation": "N",
            "endpointDescription": "phone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "referrals",
            "address_1": "24100 Cooper Rd",
            "city": "Morton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "615509498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renal Intervention Center, PLLC
• Restore Medical LLC
• Alexis Rezac, DDS
• Robert Eugene Richardson, D.C
• Steven J Richter, BS
• Meghan Lynn Roath
• Carlen Anne Roeschley, ED.S.
• Ronald J. Flanigan DDS, PC
• Julie Roth, LCPC
• Matthew Rupiper, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.