Individual provider Active NPI

Kathy Stathos, LMFT

  • Marriage & Family Therapist
  • Chicago, IL
National Provider Identifier
1598838922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
9901 S Western Ave
#207
Chicago, IL 60643-1800
Phone
(773) 238-9766
Fax
(773) 238-9766
NPI assigned
Nov 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IL Primary

Addresses

Primary practice location

9901 S Western Ave
#207
Chicago, IL 60643-1800

Mailing address

9901 S Western Ave
#207
Chicago, IL 60643-1800
Phone (773) 238-9766

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
I20240404003174 IL Practitioner - Marriage and Family Therapist 8921446261 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1631 W 100TH PL
Chicago, IL 60643-2132
Phone (773) 238-9766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598838922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 S WESTERN AVE",
            "address_2": "#207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431800",
            "telephone_number": "773-238-9766",
            "fax_number": "773-238-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 S WESTERN AVE",
            "address_2": "#207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431800",
            "telephone_number": "773-238-9766",
            "fax_number": "773-238-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATHOS",
        "first_name": "KATHY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.