Individual provider Active NPI

Antonia Katsaros, LPC

  • Professional Counselor
  • Hoffman Estates, IL
National Provider Identifier
1386074037
Registry record updated Nov 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.006651 Issued in IL
Practice address
1450 Sturbridge CT
Hoffman Estates, IL 60192-1369
Phone
(847) 712-3022
NPI assigned
Nov 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.006651 IL Primary

Addresses

Primary practice location

1450 Sturbridge CT
Hoffman Estates, IL 60192-1369

Mailing address

1450 Sturbridge CT
Hoffman Estates, IL 60192-1369
Phone (847) 712-3022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212002296 IN Practitioner - Mental Health Counselor 4981130069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duneland Counseling Center IncGroup PAC ID 7810958949, 6 clinicians

Practice addresses (Care Compare)

215 W Indiana Ave
Chesterton, IN 46304-2457
Phone (219) 921-0705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.006651ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Duneland Counseling Center, Inc. CurrentSince Dec 9, 2024 Accepting new patients
Rodasi LLC Professional Past Accepting new patients

Locations

215 W Indiana Ave
Chesterton, IN 46304
Phone (219) 921-0705

Organizations & group practices 2

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": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384560000000",
    "number": "1386074037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 STURBRIDGE CT",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921369",
            "telephone_number": "847-712-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 STURBRIDGE CT",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601921369",
            "telephone_number": "847-712-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSAROS",
        "first_name": "ANTONIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.006651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.