Individual provider Active NPI

Emily K Hummel, M.S., LMFT

  • Marriage & Family Therapist
  • Sycamore, IL
National Provider Identifier
1407997208
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000485 Issued in IL
Practice address
721 Croatian CT
Sycamore, IL 60178-2494
Phone
(815) 751-3479
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166000485 IL Primary

Addresses

Primary practice location

721 Croatian CT
Sycamore, IL 60178-2494

Mailing address

509 Madison St
Lake Geneva, WI 53147-1405
Phone (815) 751-3479

Other practice location 1

8 Health Services Dr Ste 4
Dekalb, IL 60115-9647
Phone (815) 748-8900

Other names 1

  • Emily K Krasemann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250317000158 WI Practitioner - Marriage and Family Therapist 3274055561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Lake Geneva, WI 53147
Phone (779) 400-6192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
166000485ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Hummel Counseling, LLC Marriage & Family Therapist CurrentSince May 13, 2021 Accepting new patients
Kishwaukee Community Health Services Center Past Accepting new patients

Organizations & group practices 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1407997208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MADISON ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471405",
            "telephone_number": "815-751-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CROATIAN CT",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782494",
            "telephone_number": "815-751-3479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Health Services Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601159647",
            "country_code": "US",
            "telephone_number": "815-748-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "EMILY",
        "middle_name": "K",
        "credential": "M.S., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "KRASEMANN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.