Kristen Clow, Ma, Licensed Clinical Professional Counselor, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KRISTEN CLOW, MA, LICENSED CLINICAL PROFESSIONAL COUNSELOR, PLLC

Practice address

3233 Mathers Rd Ste a
Springfield, IL 62711-7900

Phone

(217) 414-2064

Fax

(217) 679-1125

NPI assigned

Jun 25, 2022

Last updated

Jun 25, 2022By 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

Mrs. Kristen Clow, MANPI 1770221426

Title

LCPC

Phone

(217) 416-0737

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Michelle Clow, M.A., LCPC

  • Professional Counselor
  • 62711, IL
  • NPI 1770221426
  NPD Authorized official

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

{
    "created_epoch": "1656115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656115200000",
    "number": "1659003036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W PINE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043548",
            "telephone_number": "217-416-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 MATHERS RD STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117900",
            "telephone_number": "217-414-2064",
            "fax_number": "217-679-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN CLOW, MA, LICENSED CLINICAL PROFESSIONAL COUNSELOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-25",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A",
        "authorized_official_last_name": "CLOW",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "LCPC",
        "authorized_official_telephone_number": "217-416-0737",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya L Krause, PA-C
• John Fredrick Kreckman, M.D.
• Alyssa B. Kreiling, DNP
• Debra Krick, SLP
• Kasturi Kripakaran, M.D.
• Emily Krivi
• Jazz Dominic Kroeger, MD
• Courtney Rianne Krofchick
• Emily A Krofchick
• Courtney Brooke Krohe, N.P.

• Professional Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.

Verify at the official NPI Registry.