Karen M Robertie, LCPC
Individual provider Active NPI Professional Counselor · Onarga, IL
NPI 1508064221 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1508064221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.005314 (IL)
- Practice address
- 110 N Locust St
Onarga, IL 60955-1213 - Phone
- (815) 268-4001
- Fax
- (815) 268-7437
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Thresholds
Practice addresses (Care Compare)
4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5480
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131001993 | IL | Practitioner - Mental Health Counselor | 1557714078 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.005314 | IL | MD | Professional Counselor |
| 180005314 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Thresholds | Current |
Accepting new patients | |
| The Thresholds | Current |
Accepting new patients |
Locations
4101 N Ravenswood Ave
Chicago, IL 60613
Phone (773) 572-5434
202 N Schuyler Ave
Ste 205
Kankakee, IL 60901
Phone (815) 348-4409
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180005314 | IL | |
| Professional Counselor | 101YP2500X | 180.005314 | IL | Yes |
Addresses
Primary practice location
110 N Locust St
Onarga, IL 60955-1213
Mailing address
202 N Schuyler Ave Ste 205
Kankakee, IL 60901-3601
Phone (815) 348-4409
Other providers in Onarga, IL
- Nexus Family Healing
- Nexus Family Healing
- Nexus Family Healing
- Tim Ondrey
- Ashley Peters
- The Pines Nutrition Therapy LLC
- Olivia Ann Walder
All providers in Onarga, IL · Professional 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 Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.