Active NPI
Katherine Pardonek, LMHC
- Mental Health Counselor
- Crown Point, IN
National Provider Identifier
1336786045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39003299A
- Practice address
- 7877 E 108TH Ave
Crown Point, IN 46307-8260 - Phone
- (219) 213-2700
- NPI assigned
- Dec 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39003299A | IN | Primary |
Addresses
Primary practice location
7877 E 108TH Ave
Crown Point, IN 46307-8260
Mailing address
7877 E 108TH Ave
Crown Point, IN 46307-8260
Phone (219) 213-2700
Other practice location 1
1308 N Main St
Crown Point, IN 46307-2719
Phone (219) 663-6353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 9, 2024 through Dec 9, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39003299A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1336786045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7877 E 108TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078260",
"telephone_number": "219-213-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7877 E 108TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078260",
"telephone_number": "219-213-2700"
}
],
"practiceLocations": [
{
"address_1": "1308 N Main St",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463072719",
"country_code": "US",
"telephone_number": "219-663-6353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARDONEK",
"first_name": "KATHERINE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39003299A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.