Katherine Teofista Ferreria-Fong, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.013592 Issued in IL

Practice address

5614 N Mulligan Ave
Chicago, IL 60646-6129

Phone

(904) 415-2919

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lily Therapy & Wellness Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1194403428
  NPD Authorized official

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1801433180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 N MULLIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466129",
            "telephone_number": "904-415-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 N MULLIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466129",
            "telephone_number": "904-415-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 W Devon Avenue",
            "address_2": "Suite 334",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60646",
            "country_code": "US",
            "telephone_number": "773-364-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRERIA-FONG",
        "first_name": "KATHERINE",
        "middle_name": "TEOFISTA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180013592",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.014527",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kia Ferrer
• Sonia F Ferrer, M.A; LMHC
• Gabriela Isabel Ferrera, M.D.
• Maria J Ferrera
• Salvator John Ferrera, PHD
• Sabrina Marie Ferrero, AUD
• Jackie Ferretti, RD, LDN
• Julie Ferretti, MOTR/L
• Maria Florencia Ferreyra
• Christopher Ferrigno

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.