Klaudia M Carpenter

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180014349 Issued in IL

Practice address

21126 Maple St
Matteson, IL 60443-2530

Phone

(708) 646-3107

NPI assigned

Mar 25, 2022

Sex

Female

Sole proprietor

No

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.

• Veritable Paths Counseling LLC

  • Mental Health Counselor
  • Matteson, IL
  • NPI 1972378503
  NPD Authorized official
• Four Pillars Counseling, LLC

  • Mental Health Counselor
  • Matteson, IL
  • NPI 1245924091
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2023.

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700870400000",
    "number": "1194475871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21141 GOVERNORS HWY, STE 114 PMB 1033",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433818",
            "telephone_number": "708-646-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21126 MAPLE ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432530",
            "telephone_number": "708-646-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KLAUDIA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180014349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wendy Ceko, MPT
• Celeston Inc.
• Center for Mindfulness and Psychotherapy Inc

• All providers in Matteson, IL
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2023; 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.