Individual provider Active NPI

Kathryn L Wilford, LCPC, RPT, CTC

  • Professional Counselor
  • Oak Park, IL
National Provider Identifier
1609012293
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.005099 Issued in IL
Practice address
1515 N Harlem Ave
Suite 304
Oak Park, IL 60302-1250
Phone
(708) 383-3405
Fax
(708) 383-3406
NPI assigned
Jan 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.005099 IL Primary

Addresses

Primary practice location

1515 N Harlem Ave
Suite 304
Oak Park, IL 60302-1250

Mailing address

1515 N Harlem Ave
Suite 304
Oak Park, IL 60302-1250
Phone (708) 383-3405

Other names 1

  • Kathryn L Jager Former name

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
180.005099ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1609012293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE",
            "address_2": "SUITE 304",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021250",
            "telephone_number": "708-383-3405",
            "fax_number": "708-383-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N HARLEM AVE",
            "address_2": "SUITE 304",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021250",
            "telephone_number": "708-383-3405",
            "fax_number": "708-383-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILFORD",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LCPC, RPT, CTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "JAGER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; 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.