Organization Active NPI

Keys to Healing Counseling PLLC

  • Community/Behavioral Health Agency
  • Springfield, IL
National Provider Identifier
1770229304
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KEYS TO HEALING COUNSELING PLLC
Practice address
2621 Montega Dr Ste B
Springfield, IL 62704-7002
Phone
(802) 466-8684
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Kathryn Yann, LCPC
Title
Counselor
Phone
(802) 466-2684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2621 Montega Dr Ste B
Springfield, IL 62704-7002

Mailing address

2621 Montega Dr Ste B
Springfield, IL 62704-7002
Phone (802) 466-2684

Other identifiers 1

IdentifierTypeStateIssuer
14363318OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL yannk@keystohealingcounseling

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1770229304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 MONTEGA DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047002",
            "telephone_number": "802-466-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 MONTEGA DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047002",
            "telephone_number": "802-466-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYS TO HEALING COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "YANN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "802-466-2684",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14363318",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yannk@keystohealingcounseling",
            "affiliation": "N",
            "address_1": "2621 Montega Dr Ste B",
            "city": "Springfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "627047002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.