Active NPI
Kathy E Lee, MSED, LCPC, CADC,
- Counselor
- Macomb, IL
National Provider Identifier
1760609416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180001608
- Practice address
- 460 S Deer Rd
Macomb, IL 61455-2602 - Phone
- (309) 575-3960
- Fax
- (309) 575-3988
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180001608 | IL | Primary |
Addresses
Primary practice location
460 S Deer Rd
Macomb, IL 61455-2602
Mailing address
525 E Grant St
Macomb, IL 61455-3313
Phone (309) 833-4101
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
460 S Deere Rd
Macomb, IL 61455
Phone (309) 333-9829
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Solutions of Macomb LLC | Current | Accepting new patients |
Locations
460 S Deer Rd
Macomb, IL 61455
Phone (309) 333-9829
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.
-
- Mental Health Counselor
- Macomb, IL
- NPI 1477308815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1760609416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E GRANT ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553313",
"telephone_number": "309-833-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 S DEER RD",
"city": "MACOMB",
"state": "IL",
"postal_code": "614552602",
"telephone_number": "309-575-3960",
"fax_number": "309-575-3988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KATHY",
"middle_name": "E",
"credential": "MSED, LCPC, CADC,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180001608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
- Jessica Laber, A.T.C./L
- Kimberley S Laird, LCPC
- Lakeview Medical & Psychiatric Healthcare LLC
- Lamoine Valley Clinic, S. C.
- Andrea B. Lawrence, APRN
- Brooke Julianna Levister, PHARM. D.
- Xiaolu (Sherry) Li, M.D.
- Victor Erude Lidaywa, DPT
- Lifeguard Ambulance Service of Illinois Inc.
- Lifetime Dental Care of Illinois, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.