Kathleen J. Fink, L.C.P.C.
Individual provider Active NPI Professional Counselor · Winnetka, IL
NPI 1376786376 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1376786376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.006771 (IL)
- Practice address
- 992 1/2 Green Bay Rd.
Family Service Winnetka-Northfield
Winnetka, IL 60093 - Phone
- (847) 446-8060
- Fax
- (847) 446-9768
- NPI assigned
- Apr 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240212001750 | IL | Practitioner - Mental Health Counselor | 8224471743 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006771 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Center of the North Shore, Inc. | Current |
Accepting new patients |
Locations
992 Green Bay Rd
Winnetka, IL 60093
Phone (847) 446-8060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.006771 | IL | Yes |
Addresses
Primary practice location
992 1/2 Green Bay Rd.
Family Service Winnetka-Northfield
Winnetka, IL 60093
Mailing address
992 1/2 Green Bay Rd.
Family Service Winnetka-Northfield
Winnetka, IL 60093
Phone (847) 446-8060
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.