Individual provider Active NPI

Karyn Horan, LPC

  • Professional Counselor
  • New Lenox, IL
National Provider Identifier
1861852188
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178-011685 Issued in IL
Practice address
2081 Calistoga Dr
New Lenox, IL 60451-4831
Phone
(815) 418-6070
Fax
(779) 803-0169
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178-011685 IL Primary

Addresses

Primary practice location

2081 Calistoga Dr
New Lenox, IL 60451-4831

Mailing address

2081 Calistoga Dr Ste 2S
New Lenox, IL 60451-4833
Phone (312) 208-9741

Other identifiers 1

IdentifierTypeStateIssuer
178-011685OtherILMEDICAL LICENSE

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
I20240425000629 IL Practitioner - Mental Health Counselor 5193165173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2081 Calistoga Dr
Suite 2
New Lenox, IL 60451-4831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178-011685ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karyn L Horan Refuge Mental Health Counseling Professional CurrentSince Apr 20, 2025 Accepting new patients
Connections Medical Group Associates LLC CurrentSince Mar 13, 2024 Accepting new patients
Sarah Kelder, Inc. Past Accepting new patients

Locations

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

430 E Mississippi Ave
Elwood, IL 60421

123 E 9th St
Unit 1C
Lockport, IL 60441

2081 Calistoga Dr
Ste 2S
New Lenox, IL 60451
Phone (815) 418-6070

Organizations & group practices 3

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1861852188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR STE 2S",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514833",
            "telephone_number": "312-208-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 CALISTOGA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604514831",
            "telephone_number": "815-418-6070",
            "fax_number": "779-803-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAN",
        "first_name": "KARYN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178-011685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "178-011685",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.