Active NPI
Kristen A Breese, M.S., LCPC
- Professional Counselor
- Naperville, IL
National Provider Identifier
1497957930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.006873
- Practice address
- 1979 N Mill St
Suite 202
Naperville, IL 60563-1200 - Phone
- (630) 281-2496
- Fax
- (630) 839-9138
- NPI assigned
- Jun 5, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.006873 | IL | Primary |
Addresses
Primary practice location
1979 N Mill St
Suite 202
Naperville, IL 60563-1200
Mailing address
454 S Wright St
Naperville, IL 60540-5447
Phone (630) 476-1785
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.006873 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Works | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Naperville, IL
- NPI 1477847945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306108800000",
"number": "1497957930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 S WRIGHT ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405447",
"telephone_number": "630-476-1785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 N MILL ST",
"address_2": "SUITE 202",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605631200",
"telephone_number": "630-281-2496",
"fax_number": "630-839-9138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREESE",
"first_name": "KRISTEN",
"middle_name": "A",
"credential": "M.S., LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2011-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.006873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.