Individual provider Active NPI

Katherine Getowicz, LMFT

  • Marriage & Family Therapist
  • Champaign, IL
National Provider Identifier
1477020147
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001464 Issued in IL
Practice address
2506 Galen Dr Ste 101
Champaign, IL 61821-7047
Phone
(217) 693-6072
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166001464 IL Primary

Addresses

Primary practice location

2506 Galen Dr Ste 101
Champaign, IL 61821-7047

Mailing address

301 W Curtis Rd Apt 2-206
Savoy, IL 61874-9693
Phone (218) 831-1613

Other names 1

  • Katherine Warren Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240508003355 IL Practitioner - Marriage and Family Therapist 4688015639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

2506 Galen Dr
Suite 101
Champaign, IL 61821-7047
Phone (888) 428-7890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Mental Health CurrentSince Mar 10, 2024 Accepting new patients
Psychology Specialists LTD Past Accepting new patients
Psychology Specialists LTD PastSince Mar 10, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

2506 Galen Dr
Ste 101
Champaign, IL 61821
Phone (217) 693-6072

3027 English Rows Ave
Ste 201
Naperville, IL 60564

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1477020147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W CURTIS RD APT 2-206",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749693",
            "telephone_number": "218-831-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 GALEN DR STE 101",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217047",
            "telephone_number": "217-693-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETOWICZ",
        "first_name": "KATHERINE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WARREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.