Individual provider Active NPI

Kareigh Tieppo

  • Marriage & Family Therapist
  • Wilmette, IL
National Provider Identifier
1700422433
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3330 Old Glenview Rd Ste 10
Wilmette, IL 60091-2963
Phone
(312) 884-1164
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 208.000766 IL
Marriage & Family Therapist 106H00000X IL Primary

Addresses

Primary practice location

3330 Old Glenview Rd Ste 10
Wilmette, IL 60091-2963

Mailing address

3330 Old Glenview Rd Ste 10
Wilmette, IL 60091-2963
Phone (312) 884-1164

Other practice location 1

53 W Jackson Blvd Ste 1301
Chicago, IL 60604-3552
Phone (312) 884-1164

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Chicago Mindful Path Behavioral Health and Wellness, Inc.
CONNECT URL Chicago Mindful Path Behavioral Health and Wellness, Inc.
CONNECT URL Chicago Mindful Path Behavioral Health and Wellness, Inc.

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
208.000766ILMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Held Therapy, PLLC Marriage & Family Therapist Current Accepting new patients

Locations

680 N Lake Shore Dr
Ste 110
Chicago, IL 60611
Phone (630) 283-7980

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1700422433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD STE 10",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "312-884-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 OLD GLENVIEW RD STE 10",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912963",
            "telephone_number": "312-884-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 W Jackson Blvd Ste 1301",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606043552",
            "country_code": "US",
            "telephone_number": "312-884-1164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIEPPO",
        "first_name": "KAREIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "208.000766",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "Y",
            "affiliationName": "Mindful Path Behavioral Health and Wellness, Inc.",
            "address_1": "53 W Jackson Blvd Ste 1301",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606043552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "Y",
            "affiliationName": "Mindful Path Behavioral Health and Wellness, Inc.",
            "address_1": "53 W Jackson Blvd Ste 1301",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606043552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chicago",
            "affiliation": "Y",
            "affiliationName": "Mindful Path Behavioral Health and Wellness, Inc.",
            "address_1": "53 W Jackson Blvd Ste 1301",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606043552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.