Active NPI
Mary Katherine None Nieponski, MA, LPC, NCC
- Professional Counselor
- Frankfort, IL
National Provider Identifier
1720242993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.003184
- Practice address
- 33 E Colorado Ave
Frankfort, IL 60423-1385 - Phone
- (708) 262-7103
- Fax
- (866) 596-8149
- NPI assigned
- Jul 16, 2008
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.003184 | IL | Primary |
Addresses
Primary practice location
33 E Colorado Ave
Frankfort, IL 60423-1385
Mailing address
16443 S Parker Rd
Homer Glen, IL 60491-9748
Phone (708) 262-7103
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.003184 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1720242993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16443 S PARKER RD",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604919748",
"telephone_number": "708-262-7103",
"fax_number": "866-596-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 E COLORADO AVE",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231385",
"telephone_number": "708-262-7103",
"fax_number": "866-596-8149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEPONSKI",
"first_name": "MARY KATHERINE",
"middle_name": "NONE",
"name_prefix": "Mrs.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-16",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.003184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.