Kathleen Genevieve Bangs

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

521 S la Grange Rd Ste 201
La Grange, IL 60525-5633

Phone

(773) 312-4690

NPI assigned

Apr 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1780437848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BLODGETT AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141134",
            "telephone_number": "773-896-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S LA GRANGE RD STE 201",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605255633",
            "telephone_number": "773-312-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGS",
        "first_name": "KATHLEEN",
        "middle_name": "GENEVIEVE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aura IV Therapies and Wellness
• Laura Avila, BCBA
• Josephine Awah-Kanneh, MD
• Candace Badie
• Joseph Balice, D.D.S.
• Kortney Banks, M.S CCC-SLP
• Agnieszka Baran
• Amber Barnes, RN, IBCLC
• Alex John Bart, MD
• Vince Bartolomeo, MD

• Mental Health Counselor in La Grange, IL
• Providers in La Grange, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.