Active NPI
Kristen Garrity, MS, LCPC
- Professional Counselor
- Geneva, IL
National Provider Identifier
1679904221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180010766
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178-002303 | IL | MD | Professional Counselor |
| 180010766 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KLG Counseling Services, P.C. | Professional | Current | 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.
-
- Professional Counselor
- Geneva, IL
- NPI 1144728916
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.