Individual provider Active NPI

Sandra Lee Kakacek, MS ED; LCPC

  • Professional Counselor
  • St Charles, IL
National Provider Identifier
1619932324
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
4N645 School Rd
St Charles, IL 60175-6508
Phone
(630) 587-1980
Fax
(630) 587-1338
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 IL Primary

Addresses

Primary practice location

4N645 School Rd
St Charles, IL 60175-6508

Mailing address

42W959 Empire Rd
St Charles, IL 60175-8202
Phone (630) 584-8409

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
180-000536ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619932324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42W959 EMPIRE RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601758202",
            "telephone_number": "630-584-8409",
            "fax_number": "630-587-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4N645 SCHOOL RD",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601756508",
            "telephone_number": "630-587-1980",
            "fax_number": "630-587-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKACEK",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS ED; LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.