Individual provider Active NPI

Emma Katherine Youngquist

  • Clinical Social Worker
  • Dekalb, IL
National Provider Identifier
1760930218
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149021513 Issued in IL
Practice address
3251 Commerce Dr Ste C
Dekalb, IL 60115-7908
Phone
(901) 205-9395
NPI assigned
Sep 13, 2016
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166000967 IL
Clinical Social Worker 1041C0700X 149021513 IL Primary

Addresses

Primary practice location

3251 Commerce Dr Ste C
Dekalb, IL 60115-7908

Mailing address

27 Grant St
Crystal Lake, IL 60014-4372
Phone (901) 205-9395

Other practice location 1

3251 Commerce Dr Ste C
Dekalb, IL 60115-7908
Phone (901) 205-9395

Other practice location 2

27 Grant St
Crystal Lake, IL 60014-4372
Phone (901) 205-9395

Other names 1

  • Emma Katherine Krive Former name

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
I20190903002156 IL Practitioner - Clinical Social Worker 8527397496 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149021513ILMDClinical Social Worker
166000967ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blair Counseling and Mediation PC Marriage & Family Therapist CurrentSince Jul 22, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Sinnissippi Centers, Inc. Past Accepting new patients

Locations

332 S Michigan Ave
Chicago, IL 60604
Phone (773) 633-7479

27 Grant St
Crystal Lake, IL 60014
Phone (815) 276-3947

600 Dakota St
Ste B
Crystal Lake, IL 60012
Phone (815) 276-3947

12555 Farm Hill Dr
Ste 500
Huntley, IL 60142
Phone (901) 205-9395

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1760930218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GRANT ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144372",
            "telephone_number": "901-205-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 COMMERCE DR STE C",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601157908",
            "telephone_number": "901-205-9395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3251 Commerce Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601157908",
            "country_code": "US",
            "telephone_number": "901-205-9395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Grant St",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600144372",
            "country_code": "US",
            "telephone_number": "901-205-9395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNGQUIST",
        "first_name": "EMMA",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166000967",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149021513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "KRIVE",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dekalb, IL

Sources for this page

Verify at the official NPI Registry.