Individual provider Active NPI

Kristen Will, MS, LCPC, NCC

  • Mental Health Counselor
  • Newton, IL
National Provider Identifier
1790222933
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
106 Edwards St
Newton, IL 62448-1736
Phone
(618) 783-4154
Fax
(618) 783-2339
NPI assigned
Jan 26, 2017
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180015874 IL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

106 Edwards St
Newton, IL 62448-1736

Mailing address

106 Edwards St
Newton, IL 62448-1736
Phone (618) 783-4154

Other identifiers 2

IdentifierTypeStateIssuer
376001106007MedicaidIL
376001106006MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605000810 IL Practitioner - Mental Health Counselor 6507375003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of JasperGroup PAC ID 6901904796, 6 clinicians

Practice addresses (Care Compare)

910 S Van Buren St
Newton, IL 62448-1727
Phone (618) 783-4154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
County of Jasper CurrentSince Mar 30, 2025 Accepting new patients
Jasper County Health Department CurrentSince Mar 30, 2025 Accepting new patients

Locations

106 Edwards St
Newton, IL 62448
Phone (618) 783-4154

910 S Van Buren St
Newton, IL 62448
Phone (618) 783-3800

117 N Boone St
Olney, IL 62450
Phone (618) 392-3226

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1790222933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EDWARDS ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481736",
            "telephone_number": "618-783-4154",
            "fax_number": "618-783-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 EDWARDS ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481736",
            "telephone_number": "618-783-4154",
            "fax_number": "618-783-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILL",
        "first_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180015874",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376001106007",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376001106006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

Verify at the official NPI Registry.