NPIMap

Individual provider Active NPI

Catherine Menninger-Kokontis, LCSW, ACSW, CADC

  • Clinical Social Worker
  • La Grange, IL
National Provider Identifier
1770842882
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014505 Issued in IL
Practice address
10 Calendar CT
Suite F
La Grange, IL 60525-2323
Phone
(708) 819-1092
Fax
(708) 579-1705
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 22922 IL
Clinical Social Worker 1041C0700X 149.014505 IL Primary

Addresses

Primary practice location

10 Calendar CT
Suite F
La Grange, IL 60525-2323

Mailing address

529 S 6TH Ave
La Grange, IL 60525-6714
Phone (708) 819-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22922ILMDAddiction (Substance Use Disorder) Counselor
149.014505ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1770842882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S 6TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605256714",
            "telephone_number": "708-819-1092",
            "fax_number": "708-579-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CALENDAR CT",
            "address_2": "SUITE F",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252323",
            "telephone_number": "708-819-1092",
            "fax_number": "708-579-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNINGER-KOKONTIS",
        "first_name": "CATHERINE",
        "credential": "LCSW, ACSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "22922",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.