Individual provider Active NPI

Christine Kim, LCPC

  • Professional Counselor
  • Lombard, IL
National Provider Identifier
1740489079
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-005438 Issued in IL
Practice address
2 E 22ND St Ste 205
Lombard, IL 60148-6125
Phone
(630) 361-0359
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-005438 IL Primary

Addresses

Primary practice location

2 E 22ND St Ste 205
Lombard, IL 60148-6125

Mailing address

1509 S County Farm Rd Apt 2-4
Wheaton, IL 60189-7165
Phone (630) 247-0405

Other practice location 1

34 N Island Ave Ste F
Batavia, IL 60510-1996
Phone (847) 867-8936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812003715 IL Practitioner - Mental Health Counselor 2163920729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1509 S County Farm Rd
Apt 2 4
Wheaton, IL 60189-7165

2 E 22ND St
Suite 205
Lombard, IL 60148-6125
Phone (630) 361-0359

405 Kays Dr
Suite C
Normal, IL 61761-1979

5844 Elaine Dr
Suite 103
Rockford, IL 61108-2494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180-005438ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Aug 1, 2025 Accepting new patients

Locations

1910 S Highland Ave
Ste 320
Lombard, IL 60148
Phone (630) 337-6605

1560 Wall St
Ste 204
Naperville, IL 60563
Phone (630) 491-9749

1051 Perimeter Dr
Ste 700
Schaumburg, IL 60173
Phone (269) 350-4593

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1740489079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S COUNTY FARM RD APT 2-4",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601897165",
            "telephone_number": "630-247-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E 22ND ST STE 205",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486125",
            "telephone_number": "630-361-0359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 N Island Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "IL",
            "postal_code": "605101996",
            "country_code": "US",
            "telephone_number": "847-867-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "CHRISTINE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.