Individual provider Active NPI

Kimberly Melton Lechner, PH.D., LCPC, NCC

  • Mental Health Counselor
  • Wheaton, IL
National Provider Identifier
1679039481
Registry record updated Feb 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.012050 Issued in IL
Practice address
319 S Naperville Rd Ste 203
Wheaton, IL 60187-5462
Phone
(630) 660-6638
NPI assigned
Feb 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X IL
Mental Health Counselor 101YM0800X 180.012050 IL Primary

Addresses

Primary practice location

319 S Naperville Rd Ste 203
Wheaton, IL 60187-5462

Mailing address

376 Hill Ave
Glen Ellyn, IL 60137-4904
Phone (630) 660-6638

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
180.012050ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Kids First Collaborative, PLLC Mental Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550361600000",
    "number": "1679039481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 HILL AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374904",
            "telephone_number": "630-660-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S NAPERVILLE RD STE 203",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875462",
            "telephone_number": "630-660-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHNER",
        "first_name": "KIMBERLY",
        "middle_name": "MELTON",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2019; 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.