Kathryn Elyse Fish, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.001164 Issued in IL

Practice address

113 Main St Ste 203
Oswego, IL 60543-8593

Phone

(630) 733-9108

NPI assigned

Dec 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Graceful Therapy, PLLC

  • Professional Counselor
  • Oswego, IL
  • NPI 1932687332

  Marriage & Family Therapist

  NPD Authorized official

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1619375078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 WINTER HILL CIR",
            "city": "MONTGOMERY",
            "state": "IL",
            "postal_code": "605382919",
            "telephone_number": "630-207-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST STE 203",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438593",
            "telephone_number": "630-733-9108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2683 Route 34",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438577",
            "country_code": "US",
            "telephone_number": "630-733-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISH",
        "first_name": "KATHRYN",
        "middle_name": "ELYSE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Counseling Service of Aurora
• Family Counseling Service of Aurora
• Farmington Lakes Dental
• McKayla P Fata, MSW, LSW, LCSW
• Cindy A. Wagner Fischer, LCPC, NCC
• Jennifer Lee Flammersfeld
• Steven Flannagan, IDC
• Hannah Ford
• Nacha Latrice Ford, LAC.
• Fox Bend Counseling

• Marriage & Family Therapist in Oswego, IL
• Providers in Oswego, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.