Active NPI
Kenneth Gates and Associates
- Professional Counselor
- Crystal Lake, IL
National Provider Identifier
1235356957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- KENNETH GATES AND ASSOCIATES
- Practice address
- 8600 US Highway 14
Suite 110
Crystal Lake, IL 60012-2706 - Phone
- (815) 444-9210
- Fax
- (815) 444-0783
- NPI assigned
- Apr 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ken R Gates, LCPC
- Title
- President
- Phone
- (815) 444-9210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
8600 US Highway 14
Suite 110
Crystal Lake, IL 60012-2706
Mailing address
8600 US Highway 14
Suite 110
Crystal Lake, IL 60012-2706
Phone (815) 444-9210
National Provider Directory
National Provider DirectoryLocations
8600 US Highway 14
Ste 110
Crystal Lake, IL 60012
Phone (815) 526-0508
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Crystal Lake, IL
- NPI 1063769354
-
- Professional Counselor
- Crystal Lake, IL
- NPI 1609905009
-
- Professional Counselor
- Crystal Lake, IL
- NPI 1699879742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235356957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 US HIGHWAY 14",
"address_2": "SUITE 110",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600122706",
"telephone_number": "815-444-9210",
"fax_number": "815-444-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 US HIGHWAY 14",
"address_2": "SUITE 110",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600122706",
"telephone_number": "815-444-9210",
"fax_number": "815-444-0783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH GATES AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "KEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-444-9210",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.