Individual provider Active NPI

Karen M Robertie, LCPC

  • Professional Counselor
  • Onarga, IL
National Provider Identifier
1508064221
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.005314 Issued in IL
Practice address
110 N Locust St
Onarga, IL 60955-1213
Phone
(815) 268-4001
Fax
(815) 268-7437
NPI assigned
Jul 3, 2007
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180005314 IL
Professional Counselor 101YP2500X 180.005314 IL Primary

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

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
I20240131001993 IL Practitioner - Mental Health Counselor 1557714078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ThresholdsGroup PAC ID 6204826647, 20 clinicians

Practice addresses (Care Compare)

4101 N Ravenswood Ave
Chicago, IL 60613-2193
Phone (773) 572-5480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.005314ILMDProfessional Counselor
180005314ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Thresholds CurrentSince Jan 4, 2024 Accepting new patients
The Thresholds CurrentSince Jan 4, 2024 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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1508064221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N SCHUYLER AVE STE 205",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013601",
            "telephone_number": "815-348-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N LOCUST ST",
            "city": "ONARGA",
            "state": "IL",
            "postal_code": "609551213",
            "telephone_number": "815-268-4001",
            "fax_number": "815-268-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTIE",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180005314",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onarga, IL

Sources for this page

Verify at the official NPI Registry.