Active NPI
Kaitlyn Anderson, M.A., L.P.C.
- Professional Counselor
- Naperville, IL
National Provider Identifier
1356890263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.011425
- Practice address
- 1979 N Mill St
Suite 202
Naperville, IL 60563-1200 - Phone
- (815) 514-6112
- NPI assigned
- Oct 3, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 178.011425 | IL | Primary |
Addresses
Primary practice location
1979 N Mill St
Suite 202
Naperville, IL 60563-1200
Mailing address
1979 N Mill St
Suite 202
Naperville, IL 60563-1200
Phone (815) 514-6112
Other names 1
- Kaitlyn Van Beveren
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011425 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seek Joy Counseling Services LLC | Professional | Current | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1356890263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 N MILL ST",
"address_2": "SUITE 202",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631200",
"telephone_number": "815-514-6112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 N MILL ST",
"address_2": "SUITE 202",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631200",
"telephone_number": "815-514-6112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "KAITLYN",
"name_prefix": "Mrs.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-03",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.011425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "VAN BEVEREN",
"credential": "M.A., L.P.C.",
"code": "1",
"type": "Former Name"
}
]
}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 Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.