Active NPI
Kari Wittmann Lata, LMFT, LCPC
- Marriage & Family Therapist
- Naperville, IL
National Provider Identifier
1386771863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166000586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180005863 | IL | MD | Mental Health Counselor |
| 166000586 | IL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Naperville, IL
- NPI 1518336908
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.