Kathryn Schiber, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.026135 Issued in IL

Practice address

2921 Maryville Rd Ste B
Maryville, IL 62062-5400

Phone

(618) 484-9337

Fax

(618) 484-9353

NPI assigned

Oct 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kathryn Bursich Former name

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Chair Counseling LLCGroup PAC ID 2163964594, 3 clinicians

Fortitude Trails CounselingGroup PAC ID 8921414947, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie@bluechaircounseling.com

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.

• Blue Chair Counseling LLC

  • Clinical Social Worker
  • Maryville, IL
  • NPI 1336914142
  Medicare reassignment Care Compare group NPD
• Fortitude Trails Counseling

  • Clinical Social Worker
  • Swansea, IL
  • NPI 1295327575
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702166400000",
    "number": "1306509120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620340639",
            "telephone_number": "618-288-8085",
            "fax_number": "618-288-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 MARYVILLE RD STE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625400",
            "telephone_number": "618-484-9337",
            "fax_number": "618-484-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIBER",
        "first_name": "KATHRYN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-12-10",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.026135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4A00-IPI-032",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Katie@bluechaircounseling.com",
            "affiliation": "Y",
            "endpointDescription": "Confidential Email",
            "affiliationName": "Blue Chair Counseling LLC",
            "address_1": "2921 Maryville Rd Ste B",
            "city": "Maryville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "620625400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BURSICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mahmoud A Saleh, MD
• Anita Sandhu, MD
• Sara Hunter Counseling LLC
• Tabatha Marie Stabler Sauer, PA
• Patrice A Schaake, MS, CCC-SLP
• Jamie Michelle Schneider, FNP
• Kimberly M Schneider, PA
• Patrese P Schneider
• Amy Catherine Schollenberger, CRNA
• Dean Schueler, MD

• Clinical Social Worker in Maryville, IL
• Providers in Maryville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2023; 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.

Verify at the official NPI Registry.