Organization Active NPI

Broad Horizons Psychotherapy

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1245177799
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BROAD HORIZONS PSYCHOTHERAPY
Practice address
7415 N Paulina St Apt 1
Chicago, IL 60626-1896
Phone
(630) 800-6502
NPI assigned
May 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Kathleen G Katsikeas, LCSWNPI 1063237295
Title
Owner, Clinician
Phone
(630) 800-6502

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7415 N Paulina St Apt 1
Chicago, IL 60626-1896

Mailing address

7415 N Paulina St Apt 1
Chicago, IL 60626-1896
Phone (630) 800-6502

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1245177799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 N PAULINA ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261896",
            "telephone_number": "630-800-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 N PAULINA ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606261896",
            "telephone_number": "630-800-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD HORIZONS PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "KATSIKEAS",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "630-800-6502",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.