Kathleen Baxa LCPC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180009274 Issued in IL

Legal business name

KATHLEEN BAXA LCPC

Practice address

600 Spring Hill Ring Rd
West Dundee, IL 60118-7300

Phone

(847) 697-7078

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Suzanne Baxa, LCPC

Title

Psychotherapist

Phone

(847) 697-7078

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1629473665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187300",
            "telephone_number": "847-697-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SPRING HILL RING RD",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601187300",
            "telephone_number": "847-697-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN BAXA LCPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "BAXA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-697-7078",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180009274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Janisch, MA, LCPC
• Orenza Letizia Jaske, MA, LCPC
• Katarzyna Skrzypek Kabat, RDH
• Nathan M Kakish, MD
• Barbara Kapuscik, PT
• Sydney Kate Kazlauskas
• Rachel Kearley
• Marie Kilvington, LCSW
• King Family Wellness LLC
• Katie S King, D.C.

• Community/Behavioral Health Agency in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.