Individual provider Active NPI

Hilary E Kohs, LCSW, ACSW

  • Clinical Social Worker
  • Diamond, IL
National Provider Identifier
1235386509
Registry record updated Feb 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149011760 Issued in IL
Practice address
2095 E Tracy St
Diamond, IL 60416-9409
Phone
(815) 823-6972
NPI assigned
Aug 19, 2008
Last updated
Feb 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149011760 IL Primary

Addresses

Primary practice location

2095 E Tracy St
Diamond, IL 60416-9409

Mailing address

2095 E Tracy St
Diamond, IL 60416-9409
Phone (815) 823-6972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149011760ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Compass Behavioral Health and Wellness, P.C. Clinical CurrentSince Feb 9, 2020 Accepting new patients
Crossroads Counseling Services, PLLC Clinical Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580601600000",
    "number": "1235386509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 E TRACY ST",
            "city": "DIAMOND",
            "state": "IL",
            "postal_code": "604169409",
            "telephone_number": "815-823-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 E TRACY ST",
            "city": "DIAMOND",
            "state": "IL",
            "postal_code": "604169409",
            "telephone_number": "815-823-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHS",
        "first_name": "HILARY",
        "middle_name": "E",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2020-02-02",
        "certification_date": "2020-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.