Kathryn Burkhardt Lipkin, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-002672 Issued in IL

Practice address

16626 W 159TH St Ste 700
Lockport, IL 60441-8019

Phone

(312) 259-9202

NPI assigned

Mar 14, 2007

Last updated

Feb 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1275667289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MACGREGOR RD",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604412219",
            "telephone_number": "312-259-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16626 W 159TH ST STE 700",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418019",
            "telephone_number": "312-259-9202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605406643",
            "country_code": "US",
            "telephone_number": "312-259-9202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPKIN",
        "first_name": "KATHRYN",
        "middle_name": "BURKHARDT",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-002672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lockport, IL
• Providers in Lockport, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.