Katie Ann Mitchell, MSW, QMHP

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

325 Il Route 2
Dixon, IL 61021-9118

Phone

(815) 284-6611

Fax

(815) 284-6598

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

May accept Medicare assignment

Group practices

Clarity Counseling and Mediation IncGroup PAC ID 3678869179, 6 clinicians

Community Health Systems IncGroup PAC ID 3678565116, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Clarity Counseling and Mediation Inc

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1780647651
  Medicare reassignment Care Compare group NPD
• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochelle, IL
  • NPI 1407143837
  Medicare reassignment NPD
• Community Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Beloit, WI
  • NPI 1750390670
  Care Compare group
• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oregon, IL
  • NPI 1437446861
  NPD
• Sinnissippi Centers, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Dixon, IL
  • NPI 1538447313
  NPD

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497274450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 IL ROUTE 2",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219118",
            "telephone_number": "815-284-6611",
            "fax_number": "815-284-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 IL ROUTE 2",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219118",
            "telephone_number": "815-284-6611",
            "fax_number": "815-284-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSW, QMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Miller, CADC
• Mandi Marie Miller
• Sondra Lynn Mills
• Mary Louise Milne, A.A.S, MHP
• Grace Mingus, RBT
• Lisa Renae Mitchell
• Jacob Mathew Mohr
• Mark Timothy Monahan, M.D.
• Maggie Monnier
• Halley-Anne Moore, RBT

• Social Worker in Dixon, IL
• Providers in Dixon, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.