Individual provider Active NPI

Cara Nicole Keplar, LCSW

  • Clinical Social Worker
  • Peoria, IL
National Provider Identifier
1558713107
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149022138 Issued in IL
Practice address
5400 W Landens Way Apt 13a
Peoria, IL 61615-9223
Phone
(309) 966-0068
Fax
(309) 966-0266
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149022138 IL Primary

Addresses

Primary practice location

5400 W Landens Way Apt 13a
Peoria, IL 61615-9223

Mailing address

6908 N Donmar Dr
Peoria, IL 61614-2802
Phone (309) 222-4479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • 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
I20250520004535 IL Order and Referring Only - Clinical Social Worker 8224556451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Shane Counseling Services LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1558713107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 N DONMAR DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142802",
            "telephone_number": "309-222-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W LANDENS WAY APT 13A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159223",
            "telephone_number": "309-966-0068",
            "fax_number": "309-966-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPLAR",
        "first_name": "CARA",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2021-09-22",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.