Kathleen Ellen El Koury, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149014837 Issued in IL

Practice address

3362 Big Pine TRL Ste a
Champaign, IL 61822-1409

Phone

(217) 383-0151

Fax

(217) 633-4555

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Full Circle Therapy LLC

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1689541195
  Medicare reassignment NPD Authorized official
• Dulski Counseling, LLC

  • Mental Health Counselor
  • Champaign, IL
  • NPI 1902777659

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1386923340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 BIG PINE TRL STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221409",
            "telephone_number": "217-383-0151",
            "fax_number": "217-633-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 BIG PINE TRL STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221409",
            "telephone_number": "217-383-0151",
            "fax_number": "217-633-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL KOURY",
        "first_name": "KATHLEEN",
        "middle_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eickmeier Foot and Ankle Clinic, LLC
• Kimberly M. Eickmeier, D.P.M.
• Mercy E Eigbike, MD
• Mohammed Eikram, M.D.
• Karen L Eisenmenger, MD
• Markus Paul Eldred, DDS
• Elise Lanker Counseling, PLLC
• Elite Care Providers PC
• Elite Spine and Regenerative Pain Center, LTD
• Ellacrit LLC

• Clinical Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.