Active NPI
Katrina Neubauer, LCPC
- Mental Health Counselor
- Morris, IL
National Provider Identifier
1447623970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180010675
- Practice address
- 237 W Waverly St
Morris, IL 60450-1334 - Phone
- (815) 941-0441
- NPI assigned
- Nov 5, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180010675 | IL | Primary |
Addresses
Primary practice location
237 W Waverly St
Morris, IL 60450-1334
Mailing address
13136 Western Ave
Blue Island, IL 60406-2423
Phone (708) 974-5800
Other practice location 1
13136 Western Ave
Blue Island, IL 60406-2423
Phone (708) 974-5800
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1447623970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13136 WESTERN AVE",
"city": "BLUE ISLAND",
"state": "IL",
"postal_code": "604062423",
"telephone_number": "708-974-5800",
"fax_number": "708-371-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 W WAVERLY ST",
"city": "MORRIS",
"state": "IL",
"postal_code": "604501334",
"telephone_number": "815-941-0441"
}
],
"practiceLocations": [
{
"address_1": "13136 Western Ave",
"address_purpose": "LOCATION",
"city": "Blue Island",
"state": "IL",
"postal_code": "604062423",
"country_code": "US",
"telephone_number": "708-974-5800",
"fax_number": "708-371-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUBAUER",
"first_name": "KATRINA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-05",
"last_updated": "2023-11-17",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180010675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.