Individual provider Active NPI

Kate Umbriaco, LPC

  • Professional Counselor
  • Burr Ridge, IL
National Provider Identifier
1679164461
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180016124 Issued in IL
Practice address
241 S Frontage Rd Ste 36
Burr Ridge, IL 60527-6169
Phone
(630) 974-6777
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180016124 IL Primary
Professional Counselor 101YP2500X 178014297 IL

Addresses

Primary practice location

241 S Frontage Rd Ste 36
Burr Ridge, IL 60527-6169

Mailing address

9311 S 86TH CT
Hickory Hills, IL 60457-1707
Phone (708) 408-0003

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TheraNest

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

LicenseStateTypeSpecialty
178014297ILMDProfessional Counselor
180016124ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Relationshipstore LLC Past Accepting new patients

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1679164461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9311 S 86TH CT",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604571707",
            "telephone_number": "708-408-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S FRONTAGE RD STE 36",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276169",
            "telephone_number": "630-974-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMBRIACO",
        "first_name": "KATE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180016124",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178014297",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TheraNest",
            "affiliation": "N",
            "address_1": "241 S Frontage Rd Ste 36",
            "city": "Burr Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605276169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.