Individual provider Active NPI

Kareen Billetter, MS, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1659948180
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.014743 Issued in IL
Practice address
1500 N Clybourn Ave Unit C105
Chicago, IL 60610-2295
Phone
(312) 242-1665
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.014743 IL Primary
Behavior Technician 106S00000X 4420221577 IN

Addresses

Primary practice location

1500 N Clybourn Ave Unit C105
Chicago, IL 60610-2295

Mailing address

1500 N Clybourn Ave Unit C105
Chicago, IL 60610-2295
Phone (312) 242-1665

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4420221577INMDBehavior Technician
056.014743ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumiere Children'S Therapy, LLC CurrentSince Apr 17, 2022 Accepting new patients

Locations

1500 N Clybourn Ave
Unit C105
Chicago, IL 60610
Phone (312) 202-4216

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1659948180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N CLYBOURN AVE UNIT C105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102295",
            "telephone_number": "312-242-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N CLYBOURN AVE UNIT C105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102295",
            "telephone_number": "312-242-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLETTER",
        "first_name": "KAREEN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.014743",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "4420221577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.