Christine Konecny

Primary specialty

CounselorTaxonomy code 101Y00000X

License

150104796 Issued in IL

Practice address

2600 Dekalb Ave Ste J
Sycamore, IL 60178-3132

Phone

(815) 787-9000

NPI assigned

Jan 1, 2021

Sex

Female

Sole proprietor

Yes

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Braden Counseling Center, P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Sycamore, IL
  • NPI 1518026434

  Counselor

  NPD

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

{
    "created_epoch": "1609459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1639767098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BEATRICE AVE",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601744342",
            "telephone_number": "608-642-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 DEKALB AVE STE J",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783132",
            "telephone_number": "815-787-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONECNY",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-01",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "150104796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KND Development 59 LLC
• Mary Knepp
• Rhonda L Koach
• James Kolar, M.D.
• Denny Kolkebeck, DPT
• Steven Anthony Koos, MD DDS
• Carrie L Kopala, PA-C
• Vera Kotelnikova
• Brianna Kraft, ATC
• Matthew Kraft, ATC

• Counselor in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.