Active NPI
Katherine Scott, LCPC, BC-DMT
- Professional Counselor
- Chicago, IL
National Provider Identifier
1336982974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.015077
- Practice address
- 1543 N Rockwell St Apt 1F
Chicago, IL 60622-2359 - Phone
- (908) 601-2866
- NPI assigned
- Jun 13, 2024
- Last updated
- Aug 2, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.015077 | IL | Primary |
Addresses
Primary practice location
1543 N Rockwell St Apt 1F
Chicago, IL 60622-2359
Mailing address
1543 N Rockwell St Apt 1F
Chicago, IL 60622-2359
Phone (908) 601-2866
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 Skokie Blvd
Northbrook, IL 60062-4118
Phone (847) 441-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.015077 | IL | MD | Professional Counselor |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Northbrook, IL
- NPI 1073548640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1336982974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 N ROCKWELL ST APT 1F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222359",
"telephone_number": "908-601-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1543 N ROCKWELL ST APT 1F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606222359",
"telephone_number": "908-601-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KATHERINE",
"credential": "LCPC, BC-DMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-13",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.015077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.