Active NPI
Keys to Healing Counseling PLLC
- Community/Behavioral Health Agency
- Springfield, IL
National Provider Identifier
1770229304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14363318 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | yannk@keystohealingcounseling |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Springfield, IL
- NPI 1548739642
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.