NPIMap

Organization Active NPI

KH Counseling

  • Clinical Social Worker
  • Swansea, IL
National Provider Identifier
1801348354
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149015509 Issued in IL
Legal business name
KH COUNSELING
Practice address
5 Executive Woods CT
Lower Level
Swansea, IL 62226-2170
Phone
(618) 277-7570
NPI assigned
Nov 1, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Kathleen Harvey, MSW LCSWNPI 1578973186
Title
Sole Propieter
Phone
(618) 277-7570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 149015509 IL Primary

Addresses

Primary practice location

5 Executive Woods CT
Lower Level
Swansea, IL 62226-2170

Mailing address

5 Executive Woods CT
Lower Level
Swansea, IL 62226-2170
Phone (618) 277-7570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161114000771 IL Part B Supplier - Clinic/Group Practice 2860771987 Receives reassigned benefits from 1 practitioner
Practice locations: Swansea, IL

National Provider Directory

National Provider Directory

Locations

5 Executive Woods Ct
Lowr
Swansea, IL 62226
Phone (618) 277-7570

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1801348354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE WOODS CT",
            "address_2": "LOWER LEVEL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262170",
            "telephone_number": "618-277-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EXECUTIVE WOODS CT",
            "address_2": "LOWER LEVEL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262170",
            "telephone_number": "618-277-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "SOLE PROPIETER",
        "authorized_official_telephone_number": "618-277-7570",
        "authorized_official_credential": "MSW LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.