Active NPI
Janice Kerr, LCPC, PEL-SC, NCC
- Professional Counselor
- Plainfield, IL
National Provider Identifier
1316420813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180013129
- Practice address
- 13550 S Route 30 Ste 204B
Plainfield, IL 60544-5688 - Phone
- (630) 597-6779
- Fax
- (630) 806-8078
- NPI assigned
- Sep 11, 2018
- Last updated
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180013129 | IL | Primary |
| Professional Counselor | 101YP2500X | NU |
Addresses
Primary practice location
13550 S Route 30 Ste 204B
Plainfield, IL 60544-5688
Mailing address
26914 Summergrove Dr
Plainfield, IL 60585-2922
Phone (571) 261-0988
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | janicekerrlcpc@gmail.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180013129 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- janicekerr@tdh.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1316420813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26914 SUMMERGROVE DR",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605852922",
"telephone_number": "571-261-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13550 S ROUTE 30 STE 204B",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605445688",
"telephone_number": "630-597-6779",
"fax_number": "630-806-8078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "JANICE",
"name_prefix": "Mrs.",
"credential": "LCPC, PEL-SC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-11",
"last_updated": "2022-06-13",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180013129",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "janicekerrlcpc@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "1755 Park St Ste 200",
"city": "Naperville",
"state": "IL",
"country_code": "US",
"postal_code": "605638404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.