Kristin Ashley Bondlow, LCSW
Individual provider Active NPI Mental Health Counselor · Ottawa, IL
NPI 1457282949 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1457282949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 149.029363 (IL)
- Practice address
- 807 Lasalle Street
Ottawa, IL 61350 - Phone
- (815) 823-2418
- NPI assigned
- May 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.029363 | IL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 149.029363 | IL | Yes |
Addresses
Primary practice location
807 Lasalle Street
Ottawa, IL 61350
Mailing address
140 Chestnut St
Buckingham, IL 60917-1005
Phone (815) 823-2418
Other providers in Ottawa, IL
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- Erin Rose Boe
- Pamela Booras
- Peter Borek
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- Donnette Anitra Brass
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All providers in Ottawa, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.