Individual provider Active NPI

Kristin Yarnell, LPC, CADC, CODP II

  • Addiction (Substance Use Disorder) Counselor
  • Warrenville, IL
National Provider Identifier
1407737273
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
34884 Issued in IL
Practice address
28371 Davis Pkwy Ste 102
Warrenville, IL 60555-3035
Phone
(630) 520-9205
NPI assigned
Sep 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 36042 IL
Mental Health Counselor 101YM0800X 178.015052 IL
Addiction (Substance Use Disorder) Counselor 101YA0400X 34884 IL Primary

Addresses

Primary practice location

28371 Davis Pkwy Ste 102
Warrenville, IL 60555-3035

Mailing address

1021 N Mulford Rd
Rockford, IL 61107-3874
Phone (888) 928-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1021 N Mulford Rd
Rockford, IL 61107-3874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34884ILMDAddiction (Substance Use Disorder) Counselor
36042ILMDAddiction (Substance Use Disorder) Counselor
178.015052ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1407737273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073874",
            "telephone_number": "888-928-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28371 DAVIS PKWY STE 102",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553035",
            "telephone_number": "630-520-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YARNELL",
        "first_name": "KRISTIN",
        "credential": "LPC, CADC, CODP II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "36042",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.015052",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "34884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenville, IL

Sources for this page

Verify at the official NPI Registry.