Active NPI
Katherina Krentkowski, LCPC, LMHC
- Mental Health Counselor
- Oak Brook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39001657A
- Practice address
- 3500 Spring Rd
Oak Brook, IL 60523-2718 - Phone
- (630) 655-0404
- Fax
- (630) 655-0101
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001657A | IN | Primary |
| Mental Health Counselor | 101YM0800X | 180.006784 | IL |
Addresses
Primary practice location
3500 Spring Rd
Oak Brook, IL 60523-2718
Mailing address
3500 Spring Rd
Oak Brook, IL 60523-2718
Phone (630) 655-0404
Other practice location 1
962 W US Highway 30 Unit 8
Schererville, IN 46375-1551
Phone (708) 845-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
962 W US Hwy 30
Unit 8
Schererville, IN 46375-1551
Phone (708) 845-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006784 | IL | MD | Mental Health Counselor |
| 39001657A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Christian Counseling Center Inc | Current | Accepting new patients | |
| Frances Gaik PC | Past | Accepting new patients | |
| Donald J. Olund P.C. | Past | Accepting new patients |
Locations
15127 S 73rd Ave
Ste G
Orland Park, IL 60462
Phone (630) 990-1935
962 W US Highway 30
Unit 8
Schererville, IN 46375
Phone (219) 864-4363
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Oak Brook, IL
- NPI 1144471541
-
- Psychologist
- Oak Brook, IL
- NPI 1417155839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1285793463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 SPRING RD",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232718",
"telephone_number": "630-655-0404",
"fax_number": "630-655-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 SPRING RD",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605232718",
"telephone_number": "630-655-0404",
"fax_number": "630-655-0101"
}
],
"practiceLocations": [
{
"address_1": "962 W US Highway 30 Unit 8",
"address_purpose": "LOCATION",
"city": "Schererville",
"state": "IN",
"postal_code": "463751551",
"country_code": "US",
"telephone_number": "708-845-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRENTKOWSKI",
"first_name": "KATHERINA",
"credential": "LCPC, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001657A",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.006784",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.