Active NPI
Karen Herzel
- Professional Counselor
- Normal, IL
National Provider Identifier
1417466517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178013321
- Practice address
- 706 Oglesby Ave Ste 111
Normal, IL 61761-4616 - Phone
- (309) 585-0241
- NPI assigned
- Sep 21, 2017
- Last updated
- Sep 21, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178013321 | IL | Primary |
Addresses
Primary practice location
706 Oglesby Ave Ste 111
Normal, IL 61761-4616
Mailing address
3001 Capodice Rd
Bloomington, IL 61705-5943
Phone (309) 533-2755
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 |
|---|---|---|---|
| 178013321 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505952000000",
"number": "1417466517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 CAPODICE RD",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617055943",
"telephone_number": "309-533-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 OGLESBY AVE STE 111",
"city": "NORMAL",
"state": "IL",
"postal_code": "617614616",
"telephone_number": "309-585-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZEL",
"first_name": "KAREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-21",
"last_updated": "2017-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178013321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
- Hannah Herald
- Heritage Manor - Normal (Heritage Health)
- Heritage Manor Normal, LLC (Heritage Health - Normal)
- Amie Kristine Hernandez, APN/CNM
- Shannon Herrera
- Sarah Fraser Hickman
- Highland Park CVS, L.L.C. (CVS Pharmacy #08043)
- Highland Park CVS, L.L.C. (CVS Pharmacy# 07020)
- Alyssa Hildebrand
- Summer Alyssa Hinthorne, APN, WHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.