Individual provider Active NPI

Catherine R Watkins

  • Professional Counselor
  • Evanston, IL
National Provider Identifier
1730635764
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
2117 Harrison St
Evanston, IL 60201-2224
Phone
(847) 461-3383
NPI assigned
Aug 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2117 Harrison St
Evanston, IL 60201-2224

Mailing address

2117 Harrison St
Evanston, IL 60201-2224
Phone (847) 461-3383

Other practice location 1

8324 Skokie Blvd
Skokie, IL 60077-2545
Phone (847) 933-0051 ext. 459

Other practice location 2

690 Oak St
Winnetka, IL 60093-2522
Phone (847) 446-6955 ext. 27

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kizuna Counseling, LLC Professional CurrentSince Jul 23, 2023 Accepting new patients
Samaritan Counseling Center PastSince Jul 12, 2017 Accepting new patients

Organizations & group practices 2

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1730635764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 HARRISON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012224",
            "telephone_number": "847-461-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 HARRISON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012224",
            "telephone_number": "847-461-3383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8324 Skokie Blvd",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600772545",
            "country_code": "US",
            "telephone_number": "847-933-0051 x459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 Oak St",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "IL",
            "postal_code": "600932522",
            "country_code": "US",
            "telephone_number": "847-446-6955 x27",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "CATHERINE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.