Individual provider Active NPI

Kara Londergan, MA, AMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1417589367
Registry record updated Feb 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
208.000771 Issued in IL
Practice address
53 W Jackson Blvd
Chicago, IL 60604-3606
Phone
(773) 423-8447
NPI assigned
Feb 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 208.000771 IL Primary

Addresses

Primary practice location

53 W Jackson Blvd
Chicago, IL 60604-3606

Mailing address

12 E Penny Rd
South Barrington, IL 60010-9572
Phone (773) 914-0082

Other names 1

  • Kara Londergan Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
208.000771ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hohm Psychotherapy PLLC Marriage & Family Therapist Current Accepting new patients

Locations

2700 Patriot Blvd
Ste 250
Glenview, IL 60026
Phone (312) 756-0468

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.

NPI Registry JSON

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1417589367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E PENNY RD",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109572",
            "telephone_number": "773-914-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043606",
            "telephone_number": "773-423-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDERGAN",
        "first_name": "KARA",
        "credential": "MA, AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208.000771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "LONDERGAN",
            "credential": "MA, AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.