Kathryn Marie Bienemann, MA, NCC, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-005588 Issued in IL

Practice address

1820 N Sterling Ave
West Peoria, IL 61604-6433

Phone

(224) 442-0450

NPI assigned

Jan 17, 2007

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Saint Francis Medical Center

  • Physical Medicine & Rehabilitation Physician
  • Peoria, IL
  • NPI 1023062312
  Medicare reassignment NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment
• Central PA Pharmacy LLC.

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1295887362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 N STERLING AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616046433",
            "telephone_number": "224-442-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 N STERLING AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616046433",
            "telephone_number": "224-442-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENEMANN",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MA, NCC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Pharmacy of Il Inc
• American Sleep Solutions Inc
• Teresa S Baker, LMT
• Isaac Ibrahim Boktor
• Brin Diagnostics Inc.
• Kristen Leigh Brosch, LCPC
• Felicity Buedel, EMT
• Tonya Renae Camacho, LPCP

• Professional Counselor in West Peoria, IL
• Providers in West Peoria, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.