Individual provider Active NPI

Kara M. Olimene, LCSW

  • Social Worker
  • Naperville, IL
National Provider Identifier
1861568636
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
43 E. Jefferson # 205
Naperville, IL 60540
Phone
(708) 275-0748
NPI assigned
Nov 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-010440 IL
Social Worker 104100000X Primary

Addresses

Primary practice location

43 E. Jefferson # 205
Naperville, IL 60540

Mailing address

356 Windsong CT
Bolingbrook, IL 60440
Phone (708) 275-0748

Other identifiers 1

IdentifierTypeStateIssuer
09932234OtherILBCBS PROVIDER NUMBER

Other names 1

  • Kara M. Gulling Former name

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
I20100430000330 IL Practitioner - Clinical Social Worker 9537296116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Olimene Counseling Services, Inc.Group PAC ID 6406174325, 2 clinicians

Practice addresses (Care Compare)

550 E Boughton Rd
Suite 265
Bolingbrook, IL 60440-2396
Phone (331) 318-8181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-010440ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Olimene Counseling Services, Inc. Clinical CurrentSince Feb 2, 2015 Accepting new patients
Alexian Brothers Behavioral Health Hospital Clinical Past Accepting new patients

Locations

440 W Boughton Rd
Ste 104
Bolingbrook, IL 60440
Phone (331) 318-8181

550 E Boughton Rd
Ste 265
Bolingbrook, IL 60440
Phone (331) 318-8181

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363305600000",
    "number": "1861568636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 WINDSONG CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "708-275-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 E. JEFFERSON # 205",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "708-275-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIMENE",
        "first_name": "KARA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2013-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-010440",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "09932234",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "GULLING",
            "middle_name": "M.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.