Individual provider Active NPI

Sandra H Kath-Lanterman, LCPC

  • Professional Counselor
  • Joliet, IL
National Provider Identifier
1225116296
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.001489 Issued in IL
Practice address
3033 West Jefferson Street
Suite 107
Joliet, IL 60435
Phone
(815) 773-0772
Fax
(815) 773-0771
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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 180001489 IL
Professional Counselor 101YP2500X 180.001489 IL Primary

Addresses

Primary practice location

3033 West Jefferson Street
Suite 107
Joliet, IL 60435

Mailing address

207 Prideland Drive
Shorewood, IL 60404
Phone (815) 730-8900

Other identifiers 1

IdentifierTypeStateIssuer
10283OtherILCADC

Other names 1

  • Sandra Kath Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111003459 IL Practitioner - Mental Health Counselor 6406207646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Center for Mental Health IncGroup PAC ID 2365447232, 16 clinicians

Practice addresses (Care Compare)

3033 W Jefferson St
Suite 107
Joliet, IL 60435-5298
Phone (815) 773-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180001489ILMDMental Health Counselor
180.001489ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Center for Mental Health Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Associates in Counseling & Psychotherapy, Inc Mental Health Past Accepting new patients

Locations

3033 W Jefferson St
Ste 107
Joliet, IL 60435
Phone (815) 773-0772

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1225116296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 PRIDELAND DRIVE",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "60404",
            "telephone_number": "815-730-8900",
            "fax_number": "815-730-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WEST JEFFERSON STREET",
            "address_2": "SUITE 107",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-773-0772",
            "fax_number": "815-773-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATH-LANTERMAN",
        "first_name": "SANDRA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180001489",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.001489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADC",
            "identifier": "10283",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "KATH",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.