KP Counseling LTD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149007794 Issued in IL

Legal business name

KP COUNSELING LTD

Practice address

6392 Linden Rd
Rockford, IL 61109-2816

Phone

(779) 368-0060

Fax

(815) 368-0579

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Jennifer E Cole Shepard

Title

RCM MGR

Phone

(763) 330-5258

Specialties & licenses 1

Addresses

Locations

Practitioners 31

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

• Koren Ayres, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1679074629
  NPD
• Denise Colette Beaufait, LCSW,ACSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1568924157
  NPD
• David Braun, LCSW

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1316327836
  NPD
• Amy Bruyn, LCPC

  • Professional Counselor
  • Rockford, IL
  • NPI 1366930406
  NPD
• Christina R Cerk, M.A, LCPC

  • Professional Counselor
  • Libertyville, IL
  • NPI 1063785947
  NPD
• Noelle Darnold

  • Professional Counselor
  • Rochelle, IL
  • NPI 1689189995
  NPD
• Vernalynne Evano De la Rosa, LMFT

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1982917498
  NPD
• Anissa Nicole Dean

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1497261762
  NPD
• Ashley Sabbath Dehn, LPC

  • Professional Counselor
  • Woodstock, IL
  • NPI 1669020905
  NPD
• Brian J Fagan

  • Professional Counselor
  • Chicago, IL
  • NPI 1669013843
  NPD
• Adam Figlewicz, MSED, NCC, LPC

  • Professional Counselor
  • Rockford, IL
  • NPI 1750818563
  NPD
• Samantha Leigh Karrel, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1962946541
  NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1770630766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6392 LINDEN RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092816",
            "telephone_number": "779-368-0060",
            "fax_number": "779-368-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6392 LINDEN RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611092816",
            "telephone_number": "779-368-0060",
            "fax_number": "815-368-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Davis St Ste 222",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602014445",
            "country_code": "US",
            "telephone_number": "779-368-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4753 N Broadway St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606407910",
            "country_code": "US",
            "telephone_number": "779-368-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Main St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "IL",
            "postal_code": "600021578",
            "country_code": "US",
            "telephone_number": "779-368-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "180 N Michigan Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017488",
            "country_code": "US",
            "telephone_number": "779-368-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "695 N Perryville Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611076225",
            "country_code": "US",
            "telephone_number": "779-368-0060",
            "fax_number": "859-977-4892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12151 Regency Pkwy Ste 12189",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601427644",
            "country_code": "US",
            "telephone_number": "779-368-0060",
            "fax_number": "779-368-0579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12151 Regency Pkwy Ste 12169",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601427644",
            "country_code": "US",
            "telephone_number": "815-331-8768",
            "fax_number": "815-331-8760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KP COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "JENNIFER E",
        "authorized_official_middle_name": "COLE",
        "authorized_official_title_or_position": "RCM MGR",
        "authorized_official_telephone_number": "763-330-5258"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149007794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azhar Kothawala, M.D.
• Jack Peter Kotlarz, MD
• Steven Kouris, DO
• Emily N Kozak, NP
• Alexis N Kozlowski, APRN, FNP-BC
• Bonnie Kraft, LCSW
• Casi Lynne Krall, M.S., L.C.P.C.
• Ashlee Rose Kramer, APN
• Bryn Maxine Byers Krause, NP
• Christine Krause, A.P.N.

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.