Organization Active NPI

Kendrick Counseling, PLLC

  • Marriage & Family Therapist
  • Champaign, IL
National Provider Identifier
1225612872
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KENDRICK COUNSELING, PLLC
Practice address
2513 Sheridan Dr
Champaign, IL 61821-4737
Phone
(217) 841-9674
NPI assigned
May 10, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Trevor Elizabeth Kendrick, LMFTNPI 1306139613
Title
Owner/Senior Therapist
Phone
(217) 841-9674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2513 Sheridan Dr
Champaign, IL 61821-4737

Mailing address

2513 Sheridan Dr
Champaign, IL 61821-4737
Phone (217) 841-9674

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2021.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1225612872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SHERIDAN DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214737",
            "telephone_number": "217-841-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 SHERIDAN DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214737",
            "telephone_number": "217-841-9674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRICK COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/SENIOR THERAPIST",
        "authorized_official_telephone_number": "217-841-9674",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.