Individual provider Active NPI

Katherine Elizabeth Klara, LCPC

  • Mental Health Counselor
  • La Grange, IL
National Provider Identifier
1699312835
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.012310 Issued in IL
Practice address
72 S la Grange Rd Ste 9
La Grange, IL 60525-6318
Phone
(630) 484-6051
NPI assigned
Dec 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180012310 IL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 180.012310 IL Primary

Addresses

Primary practice location

72 S la Grange Rd Ste 9
La Grange, IL 60525-6318

Mailing address

7810 Danbury Dr
Darien, IL 60561-4351
Phone (630) 484-6051

Other names 1

  • Katherine Pitlock Former name

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
180.012310ILMDMental Health Counselor
180012310ILMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1699312835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 DANBURY DR",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605614351",
            "telephone_number": "630-484-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S LA GRANGE RD STE 9",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256318",
            "telephone_number": "630-484-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLARA",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-06",
        "last_updated": "2024-07-03",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012310",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "PITLOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.