Active NPI
Kelly Strick, LMFT
- Marriage & Family Therapist
- Oswego, IL
National Provider Identifier
1699386995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166001356
- Practice address
- 25 E Jackson St
Oswego, IL 60543-8696 - Phone
- (630) 465-0211
- NPI assigned
- Aug 11, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166001356 | IL | Primary |
Addresses
Primary practice location
25 E Jackson St
Oswego, IL 60543-8696
Mailing address
25 E Jackson St
Oswego, IL 60543-8696
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@oswegowellness.com | ||
| Other URL | info@sacredjourneywellness.org |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Authentic Connections Counseling PLLC | Current | 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.
-
- Adult Mental Health Clinic/Center
- Sandwich, IL
- NPI 1689530586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1699386995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E JACKSON ST",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E JACKSON ST",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605438696",
"telephone_number": "630-465-0211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICK",
"first_name": "KELLY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166001356",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@oswegowellness.com",
"affiliation": "N",
"address_1": "64 Main St",
"city": "Oswego",
"state": "IL",
"country_code": "US",
"postal_code": "605439893",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@sacredjourneywellness.org",
"affiliation": "N",
"address_1": "25 E Jackson St",
"city": "Oswego",
"state": "IL",
"country_code": "US",
"postal_code": "605438696",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.