NPIMap

Organization Active NPI

Kathleen E Cox PC

  • Professional Counselor
  • Roscoe, IL
National Provider Identifier
1821360181
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KATHLEEN E COX PC
Practice address
5290 Williams Dr
Roscoe, IL 61073-9222
Phone
(815) 324-0324
Fax
(866) 927-3053
NPI assigned
Feb 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Kathleen Eunice Cox, LCPCNPI 1770628166
Title
Owner
Phone
(815) 324-0324

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

5290 Williams Dr
Roscoe, IL 61073-9222

Mailing address

5290 Williams Dr
Roscoe, IL 61073-9222
Phone (815) 324-0324

Other names 1

  • Kathleen E Cox Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240419003186 IL Part B Supplier - Clinic/Group Practice 3173962339 Receives reassigned benefits from 3 practitioners
Practice locations: Roscoe, IL
O20240729001089 WI Part B Supplier - Clinic/Group Practice 3173962339 Receives reassigned benefits from 2 practitioners
Practice locations: Beloit, WI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1821360181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739222",
            "telephone_number": "815-324-0324",
            "fax_number": "866-927-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 WILLIAMS DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739222",
            "telephone_number": "815-324-0324",
            "fax_number": "866-927-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN E COX PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "EUNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-324-0324",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathleen E Cox Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Roscoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.