Individual provider Active NPI

Kristina Vogt, ATR, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1508207937
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180008745 Issued in IL
Practice address
4305 N Lincoln Ave Ste K
Chicago, IL 60618-1807
Phone
(773) 466-4527
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 178007736 IL
Professional Counselor 101YP2500X 180008745 IL Primary

Addresses

Primary practice location

4305 N Lincoln Ave Ste K
Chicago, IL 60618-1807

Mailing address

4305 N Lincoln Ave Ste K
Chicago, IL 60618-1807
Phone (773) 466-4527

Other practice location 1

410 S Michigan Ave Ste 620
Chicago, IL 60605-1401
Phone (773) 466-4527

Other practice location 2

410 S Michigan Ave Ste 422
Chicago, IL 60605-1303
Phone (773) 466-4527

Other practice location 3

1300 W Belmont Ave
Suite 400
Chicago, IL 60657-3200
Phone (773) 880-1310 ext. 7629

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

State licenses

LicenseStateTypeSpecialty
178007736ILMDProfessional Counselor
180008745ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Roots Counseling, LLC Professional Current Accepting new patients
Live Oak, Inc. Past Accepting new patients

Locations

4305 N Lincoln Ave
Ste K
Chicago, IL 60618
Phone (773) 466-4527

410 S Michigan Ave
Ste 422
Chicago, IL 60605
Phone (312) 248-0230

410 S Michigan Ave
Ste 620
Chicago, IL 60605
Phone (312) 521-9618

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508207937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE STE K",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "773-466-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE STE K",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "773-466-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 S Michigan Ave Ste 620",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606051401",
            "country_code": "US",
            "telephone_number": "773-466-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 S Michigan Ave Ste 422",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606051303",
            "country_code": "US",
            "telephone_number": "773-466-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W Belmont Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573200",
            "country_code": "US",
            "telephone_number": "773-880-1310 x7629",
            "fax_number": "773-880-1321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGT",
        "first_name": "KRISTINA",
        "credential": "ATR, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178007736",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.