Active NPI
Katelyn Sevatson
- Mental Health Counselor
- Naperville, IL
National Provider Identifier
1346996899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 208000940
- Practice address
- 200 E 5TH Ave Ste 109
Naperville, IL 60563-3173 - Phone
- (331) 457-2020
- NPI assigned
- Feb 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 208000940 | IL | Primary |
Addresses
Primary practice location
200 E 5TH Ave Ste 109
Naperville, IL 60563-3173
Mailing address
2324 Trowbridge Way
Lisle, IL 60532-3352
Phone (630) 765-2169
Other practice location 1
15 Spinning Wheel Rd Ste 231
Hinsdale, IL 60521-7657
Phone (630) 228-1095
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 |
|---|---|---|---|
| 208000940 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alw Group Grow | Current | Accepting new patients |
Locations
200 E 5th Ave
Ste 109
Naperville, IL 60563
Phone (331) 248-6194
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1346996899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2324 TROWBRIDGE WAY",
"city": "LISLE",
"state": "IL",
"postal_code": "605323352",
"telephone_number": "630-765-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 5TH AVE STE 109",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605633173",
"telephone_number": "331-457-2020"
}
],
"practiceLocations": [
{
"address_1": "15 Spinning Wheel Rd Ste 231",
"address_purpose": "LOCATION",
"city": "Hinsdale",
"state": "IL",
"postal_code": "605217657",
"country_code": "US",
"telephone_number": "630-228-1095",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVATSON",
"first_name": "KATELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "208000940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.