Individual provider Active NPI

Kristen Garrity, MS, LCPC

  • Professional Counselor
  • Geneva, IL
National Provider Identifier
1679904221
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010766 Issued in IL
Practice address
127 S 1St St Ste 201
Geneva, IL 60134-2644
Phone
(630) 450-0529
NPI assigned
Dec 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 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 178-002303 IL
Professional Counselor 101YP2500X 180010766 IL Primary

Addresses

Primary practice location

127 S 1St St Ste 201
Geneva, IL 60134-2644

Mailing address

127 S 1St St Ste 201
Geneva, IL 60134-2644
Phone (630) 450-0529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
178-002303ILMDProfessional Counselor
180010766ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
KLG Counseling Services, P.C. Professional CurrentSince Feb 11, 2024 Accepting new patients

Locations

127 S 1st St
Ste 201
Geneva, IL 60134
Phone (630) 450-0529

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": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1679904221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 1ST ST STE 201",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342644",
            "telephone_number": "630-450-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S 1ST ST STE 201",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342644",
            "telephone_number": "630-450-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRITY",
        "first_name": "KRISTEN",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178-002303",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.