Individual provider Active NPI

Kathy A Wright, LCPC LMFT LMHC

  • Mental Health Counselor
  • Dyer, IN
National Provider Identifier
1306049861
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001450A Issued in IN
Practice address
21 Joliet St
Behaviorlal Health Op
Dyer, IN 46211
Phone
(219) 865-2141
NPI assigned
Jun 11, 2007
Last updated
Mar 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39001450A IN Primary
Professional Counselor 101YP2500X 180002752 IL
Marriage & Family Therapist 106H00000X 35000980A IN

Addresses

Primary practice location

21 Joliet St
Behaviorlal Health Op
Dyer, IN 46211

Mailing address

1143 S Plymouth CT
#406
Chicago, IL 60605-2061
Phone (312) 505-2044

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
39001450AINMDMental Health Counselor
180002752ILMDProfessional Counselor
35000980AINMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1306049861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 S PLYMOUTH CT",
            "address_2": "#406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052061",
            "telephone_number": "312-505-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 JOLIET ST",
            "address_2": "BEHAVIORLAL HEALTH OP",
            "city": "DYER",
            "state": "IN",
            "postal_code": "46211",
            "telephone_number": "219-865-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KATHY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCPC  LMFT  LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001450A",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180002752",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000980A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.