Active NPI
KD Counseling
- Community/Behavioral Health Agency
- Mahomet, IL
National Provider Identifier
1467724211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 149.013492
- Legal business name
- KD COUNSELING
- Practice address
- 1205 Riverside CT
Mahomet, IL 61853-3503 - Phone
- (217) 369-9183
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher D Difilippo, MSW/LCSW
- Title
- Social Worker
- Phone
- (217) 369-9183
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 149.013492 | IL | Primary |
Addresses
Primary practice location
1205 Riverside CT
Mahomet, IL 61853-3503
Mailing address
1205 Riverside CT
Mahomet, IL 61853-3503
Phone (217) 369-9183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104981067 | Other | NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Mahomet, IL
- NPI 1104981067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328659200000",
"number": "1467724211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 RIVERSIDE CT",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618533503",
"telephone_number": "217-369-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 RIVERSIDE CT",
"city": "MAHOMET",
"state": "IL",
"postal_code": "618533503",
"telephone_number": "217-369-9183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KD COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A",
"authorized_official_last_name": "DIFILIPPO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "SOCIAL WORKER",
"authorized_official_telephone_number": "217-369-9183",
"authorized_official_credential": "MSW/LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IL",
"license": "149.013492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1104981067",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mahomet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.