Individual provider Active NPI

Kathleen Eunice Cox, LCPC

  • Professional Counselor
  • Roscoe, IL
National Provider Identifier
1770628166
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180001450 Issued in IL
Practice address
5290 Williams Dr
Roscoe, IL 61073-9222
Phone
(815) 494-0035
Fax
(866) 927-3053
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 180001450 IL Primary

Addresses

Primary practice location

5290 Williams Dr
Roscoe, IL 61073-9222

Mailing address

5290 Williams Dr
Roscoe, IL 61073-9222
Phone (815) 324-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240419003336 IL Practitioner - Mental Health Counselor 6800235060 Reassigns benefits to 1 organization
I20240820001662 WI Practitioner - Mental Health Counselor 6800235060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kathleen E Cox PCGroup PAC ID 3173962339, 3 clinicians

Practice addresses (Care Compare)

2022 Jackson St
Beloit, WI 53511-5819
Phone (815) 324-0324

5290 Williams Dr
Roscoe, IL 61073-9222
Phone (815) 324-0324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180001450ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen E Cox PC Professional CurrentSince Jun 28, 2023 Accepting new patients

Locations

5290 Williams Dr
Roscoe, IL 61073
Phone (815) 324-0324

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1770628166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739222",
            "telephone_number": "815-324-0324",
            "fax_number": "866-927-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739222",
            "telephone_number": "815-494-0035",
            "fax_number": "866-927-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "KATHLEEN",
        "middle_name": "EUNICE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180001450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscoe, IL

Sources for this page

Verify at the official NPI Registry.