Katherine Ellen Davis, LPC
Individual provider Active NPI Professional Counselor · Streamwood, IL
NPI 1861021925 · NPPES record last updated Apr 2, 2020
Key facts
- NPI
- 1861021925
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 178.014102 (IL)
- Practice address
- 1324 E Irving Park Rd
Streamwood, IL 60107-3202 - Phone
- (630) 540-3924
- NPI assigned
- Apr 2, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.014102 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Streamwood Hospital Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.014102 | IL | Yes |
Addresses
Primary practice location
1324 E Irving Park Rd
Streamwood, IL 60107-3202
Mailing address
704 S Weber Rd Unit 1418
Romeoville, IL 60446-3059
Phone (630) 235-7319
Other providers in Streamwood, IL
- Consolidated Chiropractic Health Associates Incorporation
- Covid Express Care
- Laura Gabriela Coyotl
- Dane Crouse
- Sathish Kumar Cullath Harikrishnan
- Robert Craig Demke
- Krupa Desai
- Prutha Desai
- Keval Suresh Dholakia
- Carol Lynn Didominicis
All providers in Streamwood, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.