Kristen Jean Draughan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020320 Issued in IL

Practice address

1601 W Jackson St Ste 104
Macomb, IL 61455-1901

Phone

(309) 575-3222

Fax

(309) 404-8000

NPI assigned

Dec 2, 2015

Last updated

Apr 12, 2019By the provider in NPPES

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 identifiers 1

Other names 1

• Mrs. Kristen Jean Draughan Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Solutions of Macomb LLCGroup PAC ID 1052854288, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapeutic Solutions of Macomb LLC

  • Mental Health Counselor
  • Macomb, IL
  • NPI 1477308815
  Medicare reassignment Care Compare group NPD
• Lakeview Medical & Psychiatric Healthcare LLC

  • Psychiatry Physician
  • Macomb, IL
  • NPI 1942656749
  NPD (past)

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1427423474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17385 N 1100TH RD",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614558839",
            "telephone_number": "309-344-4362",
            "fax_number": "309-344-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W JACKSON ST STE 104",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551901",
            "telephone_number": "309-575-3222",
            "fax_number": "309-404-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 Windish Dr",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614019780",
            "country_code": "US",
            "telephone_number": "309-344-4362",
            "fax_number": "309-344-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAUGHAN",
        "first_name": "KRISTEN",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020320",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.020320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370984175",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DRAUGHAN",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jon Karl Dively, DDS
• Diana Brook Dobier, PSYD LCP
• Nicholas D Doll, D.M.D.
• Kaylen Paige Dorich, LCSW
• Dr Eric Botts & Associates LLC
• Madhu Dukkipati, M.D.
• Nicole Christina Dziuba, PHARMD
• Troy D Eckman, M.D.
• Kathy Ann Eckroy, COTA/L
• Jo Anna Edison, MS, LSW

• Clinical Social Worker in Macomb, IL
• Providers in Macomb, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.