Active NPI
Kathryn Klee
- Professional Counselor
- Swansea, IL
National Provider Identifier
1609930486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180001551
- Practice address
- 110 Fullerton Rd
Swansea, IL 62226-2902 - Phone
- (618) 604-5369
- NPI assigned
- Dec 19, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180001551 | IL | Primary |
Addresses
Primary practice location
110 Fullerton Rd
Swansea, IL 62226-2902
Mailing address
110 Fullerton Rd
Swansea, IL 62226-2902
Phone (619) 604-5369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364182325 | Other | IL | TAX |
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 |
|---|---|---|---|
| 180001551 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1609930486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FULLERTON RD",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262902",
"telephone_number": "619-604-5369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 FULLERTON RD",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262902",
"telephone_number": "618-604-5369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEE",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180001551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX",
"identifier": "364182325",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.