Active NPI
Kelly Dawn Poapst, LPC, CADC
- Counselor
- Vernon Hills, IL
National Provider Identifier
1649922691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.017312
- Practice address
- 830 W End CT Ste 900
Vernon Hills, IL 60061-1333 - Phone
- (630) 881-9518
- NPI assigned
- Jan 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 34737 | IL | |
| Counselor | 101Y00000X | 178.017312 | IL | Primary |
Addresses
Primary practice location
830 W End CT Ste 900
Vernon Hills, IL 60061-1333
Mailing address
830 W End CT Ste 900
Vernon Hills, IL 60061-1333
Phone (630) 881-9518
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 |
|---|---|---|---|
| 178.017312 | IL | MD | Counselor |
| 34737 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1649922691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 W END CT STE 900",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611333",
"telephone_number": "630-881-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 W END CT STE 900",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611333",
"telephone_number": "630-881-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POAPST",
"first_name": "KELLY",
"middle_name": "DAWN",
"credential": "LPC, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "34737",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.017312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.