Kathleen Marie Friddle, M.S., L.C.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-004443 Issued in IL

Practice address

1401 McHenry Rd
Suite 122
Buffalo Grove, IL 60089-1382

Phone

(847) 913-0393

Fax

(847) 913-9630

NPI assigned

Mar 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Marie Ruzon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Mindful Evolution Counseling, PLLC

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  • NPI 1578338984
  NPD Authorized official
• Arbor Counseling Center,LTD

  • Clinical Social Worker
  • Buffalo Grove, IL
  • NPI 1164479945
  NPD (past)

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1780950568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MCHENRY RD",
            "address_2": "SUITE 122",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891382",
            "telephone_number": "847-913-0393",
            "fax_number": "847-913-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MCHENRY RD",
            "address_2": "SUITE 122",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891382",
            "telephone_number": "847-913-0393",
            "fax_number": "847-913-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDDLE",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "M.S., L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "RUZON",
            "middle_name": "MARIE",
            "credential": "M.S., L.C.P.C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Frank, D.D.S.
• Arnold M Freeman, DDS
• Christina Lynn Freeman, COTA/L
• Fresh Dental Care LTD
• Michael H Fretzin, MD
• Andrea Fried, APRN
• Roberta Friedland, LCSW
• Margaret H Fruhbauer, DO
• Roman Furman, PHARM D
• Joseph M Fye, DDS

• Professional Counselor in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.