Active NPI
Whitney Kohn, LPC
- Professional Counselor
- Crystal Lake, IL
National Provider Identifier
1780406967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.020606
- Practice address
- 650 E. Terra Cotta Ave.
Suite 103
Crystal Lake, IL 60014 - Phone
- (815) 979-2580
- Fax
- (979) 354-3517
- NPI assigned
- Oct 29, 2024
- Last updated
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.020606 | IL | Primary |
Addresses
Primary practice location
650 E. Terra Cotta Ave.
Suite 103
Crystal Lake, IL 60014
Mailing address
650 E. Terra Cotta Ave.
Suite 103
Crystal Lake, IL 60014
Phone (815) 979-2580
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.020606 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1780406967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 E. TERRA COTTA AVE.",
"address_2": "SUITE 103",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "60014",
"telephone_number": "815-979-2580",
"fax_number": "979-354-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E. TERRA COTTA AVE.",
"address_2": "SUITE 103",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "60014",
"telephone_number": "815-979-2580",
"fax_number": "979-354-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHN",
"first_name": "WHITNEY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.020606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.