Individual provider Active NPI

Katherine Nimrod, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1386313229
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.016046 Issued in IL
Practice address
225 N Columbus Dr Unit 7403
Chicago, IL 60601-5264
Phone
(224) 565-2627
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.016046 IL Primary
Counselor 101Y00000X 180.016046 IL
Professional Counselor 101YP2500X

Addresses

Primary practice location

225 N Columbus Dr Unit 7403
Chicago, IL 60601-5264

Mailing address

225 N Columbus Dr Unit 7403
Chicago, IL 60601-5264
Phone (224) 565-2627

Other practice location 1

225 N Columbus Dr Unit 7403
Chicago, IL 60601-5264
Phone (224) 565-2627

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705001853 IL Practitioner - Mental Health Counselor 3274077961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.016046ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Nimrod Counseling LLC Professional CurrentSince Jul 22, 2025 Accepting new patients
Edgewood Clinical Services, P.C. CurrentSince Jun 1, 2024 Accepting new patients
Edgewood Clinical Services, P.C. Past Accepting new patients
Psychology Specialists LTD Counselor Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

500 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 761-4755

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

Organizations & group practices 4

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1386313229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N COLUMBUS DR UNIT 7403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015264",
            "telephone_number": "224-565-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N COLUMBUS DR UNIT 7403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015264",
            "telephone_number": "224-565-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 N Columbus Dr Unit 7403",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606015264",
            "country_code": "US",
            "telephone_number": "224-565-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIMROD",
        "first_name": "KATHERINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016046",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.016046",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.