Individual provider Active NPI

Kari Wittmann Lata, LMFT, LCPC

  • Marriage & Family Therapist
  • Naperville, IL
National Provider Identifier
1386771863
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000586 Issued in IL
Practice address
1935 Brookdale Rd
Suite 119
Naperville, IL 60563-2771
Phone
(630) 717-9408
Fax
(630) 778-9490
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180005863 IL
Marriage & Family Therapist 106H00000X 166000586 IL Primary

Addresses

Primary practice location

1935 Brookdale Rd
Suite 119
Naperville, IL 60563-2771

Mailing address

1S080 E. Mallory Dr.
Geneva, IL 60134-1527
Phone (630) 845-8847

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

LicenseStateTypeSpecialty
180005863ILMDMental Health Counselor
166000586ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Youth Services Past 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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1386771863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S080 E. MALLORY DR.",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341527",
            "telephone_number": "630-845-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 BROOKDALE RD",
            "address_2": "SUITE 119",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632771",
            "telephone_number": "630-717-9408",
            "fax_number": "630-778-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATA",
        "first_name": "KARI",
        "middle_name": "WITTMANN",
        "name_prefix": "Mrs.",
        "credential": "LMFT, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180005863",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000586",
            "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 Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.