Individual provider Active NPI

Agnieszka Krzeminska, LCPC, NCC, CCMHC

  • Mental Health Counselor
  • Woodstock, IL
National Provider Identifier
1235846627
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180013610 Issued in IL
Practice address
11618 McConnell Rd
Woodstock, IL 60098-7384
Phone
(224) 400-9961
NPI assigned
Nov 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180013610 IL Primary

Addresses

Primary practice location

11618 McConnell Rd
Woodstock, IL 60098-7384

Mailing address

930 Honey Lake Rd
Lake Zurich, IL 60047-1248
Phone (224) 639-6222

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180013610ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1235846627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 HONEY LAKE RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471248",
            "telephone_number": "224-639-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 MCCONNELL RD",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600987384",
            "telephone_number": "224-400-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZEMINSKA",
        "first_name": "AGNIESZKA",
        "credential": "LCPC, NCC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180013610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.