Individual provider Active NPI

Kathryn J Kemmerling, MS

  • Marriage & Family Therapist
  • Yorkville, IL
National Provider Identifier
1679722946
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166000919 Issued in IL
Practice address
110 E Countryside Pkwy
Suite C
Yorkville, IL 60560-1813
Phone
(630) 553-1600
Fax
(630) 553-7993
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166000919 IL Primary

Addresses

Primary practice location

110 E Countryside Pkwy
Suite C
Yorkville, IL 60560-1813

Mailing address

1120 E Main St
Suite 201
St Charles, IL 60174-2287
Phone (630) 377-6613

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
166000919ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Kemmerling LMFT LLC Current Accepting new patients
Centennial Counseling Center, PC PastSince Feb 1, 2007 Accepting new patients

Locations

123 W Washington St
Ste 218
Oswego, IL 60543
Phone (815) 290-9989

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1679722946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E MAIN ST",
            "address_2": "SUITE 201",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742287",
            "telephone_number": "630-377-6613",
            "fax_number": "630-377-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E COUNTRYSIDE PKWY",
            "address_2": "SUITE C",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601813",
            "telephone_number": "630-553-1600",
            "fax_number": "630-553-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERLING",
        "first_name": "KATHRYN",
        "middle_name": "J",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.