Kathryne Merlock

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150107468 Issued in IL

Practice address

197B E US Highway 40
Troy, IL 62294-2262

Phone

(618) 505-0784

Fax

(618) 505-0785

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Choices Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Troy, IL
  • NPI 1104331289
  NPD (past)
• Choices Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marion, IL
  • NPI 1831815190
  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1538890223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622940395",
            "telephone_number": "618-505-0784",
            "fax_number": "618-505-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197B E US HIGHWAY 40",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942262",
            "telephone_number": "618-505-0784",
            "fax_number": "618-505-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 N Market St Unit 1",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629592465",
            "country_code": "US",
            "telephone_number": "618-505-0784",
            "fax_number": "618-505-0785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERLOCK",
        "first_name": "KATHRYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150107468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED SOCIAL WORKER",
            "identifier": "150107468",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie.merlock@choicescounseling.us",
            "affiliation": "N",
            "address_1": "197B E US Highway 40",
            "city": "Troy",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622942262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brooke Danielle Massa, MS, RD
• Fanny Archel Mateo
• Bethany Jo Mathis
• Gregory McDaniels, ATC
• Leanne M McDonald
• Kellie Meyer, MA CCC-SLP
• Isabella Miller
• Patricia Ellen Miller, RPH
• Lexie Mills, PA-C
• Katie Moore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.