Active NPI
Rileigh Kilgore, LSW
- Social Worker
- Champaign, IL
National Provider Identifier
1548038011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.109709
- Practice address
- 2104 Windsor PL Ste a
Champaign, IL 61820-7773 - Phone
- (217) 552-1058
- NPI assigned
- Dec 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.109709 | IL | Primary |
Addresses
Primary practice location
2104 Windsor PL Ste a
Champaign, IL 61820-7773
Mailing address
540 E Fairlawn Dr
Urbana, IL 61801-5146
Phone (217) 480-7068
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
| License | State | Type | Specialty |
|---|---|---|---|
| 150.109709 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Counseling Center LLC | Current | Accepting new patients |
Locations
2104 Windsor Pl
Ste A
Champaign, IL 61820
Phone (217) 356-1189
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, 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": "1702512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702598400000",
"number": "1548038011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 E FAIRLAWN DR",
"city": "URBANA",
"state": "IL",
"postal_code": "618015146",
"telephone_number": "217-480-7068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2104 WINDSOR PL STE A",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207773",
"telephone_number": "217-552-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILGORE",
"first_name": "RILEIGH",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-14",
"last_updated": "2023-12-15",
"certification_date": "2023-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.109709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.