Katrina Ann King Cardenas, RPRS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

45346 Issued in IL

Practice address

10656 Golden Gate Ave
Huntley, IL 60142-4027

Phone

(540) 272-8868

NPI assigned

Sep 15, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katrina King Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1417828104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10656 GOLDEN GATE AVE",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601424027",
            "telephone_number": "540-272-8868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10656 GOLDEN GATE AVE",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601424027",
            "telephone_number": "540-272-8868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5704 Pageland Ln",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201551533",
            "country_code": "US",
            "telephone_number": "540-272-8868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING CARDENAS",
        "first_name": "KATRINA",
        "middle_name": "ANN",
        "credential": "RPRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "VA",
            "license": "0735001121",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "45346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "KING",
            "credential": "RPRS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Margeret Kiggundu, FNP
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• Kevin Bryan King, PHARMD
• Lea Fucydzy Kioutas, M.D.
• Fatuma Kiwala, CNA
• Joanne N Knapik, M.D.
• Jared Ko, M.D.

• Addiction (Substance Use Disorder) Counselor in Huntley, IL
• Providers in Huntley, IL by specialty
• Addiction (Substance Use Disorder) Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.