Individual provider Active NPI

Kari LG Kimpton, LCSW

  • Clinical Social Worker
  • Vernon Hills, IL
National Provider Identifier
1891034542
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-011033 Issued in IL
Practice address
3 W Hawthorn Parkway
Suite 150
Vernon Hills, IL 60061-1447
Phone
(847) 932-0808
Fax
(847) 918-8215
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149-011033 IL Primary

Addresses

Primary practice location

3 W Hawthorn Parkway
Suite 150
Vernon Hills, IL 60061-1447

Mailing address

1701 E Woodfield Road
Suite 1000
Schaumburg, IL 60173-5113
Phone (847) 240-2211

Other identifiers 1

IdentifierTypeStateIssuer
1633897OtherILBCBS GROUP NUMBER

Other names 1

  • Miss Kari L Gallagher 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
I20130417000259 IL Practitioner - Clinical Social Worker 5991941957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pra Behavioral LLCGroup PAC ID 3274427729, 24 clinicians

Practice addresses (Care Compare)

1701 E Woodfield Rd
Suite 1000
Schaumburg, IL 60173-5113
Phone (847) 240-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-011033ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pra Behavioral LLC Clinical CurrentSince Feb 15, 2013 Accepting new patients
Lucentia Wellness, PLLC PastSince Nov 18, 2025 Accepting new patients

Locations

1701 E Woodfield Rd
Ste 1000
Schaumburg, IL 60173
Phone (847) 240-2211

3 W Hawthorn Pkwy
Ste 370
Vernon Hills, IL 60061
Phone (847) 918-8282

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": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1891034542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E WOODFIELD ROAD",
            "address_2": "SUITE 1000",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735113",
            "telephone_number": "847-240-2211",
            "fax_number": "847-240-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 W HAWTHORN PARKWAY",
            "address_2": "SUITE 150",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611447",
            "telephone_number": "847-932-0808",
            "fax_number": "847-918-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPTON",
        "first_name": "KARI",
        "middle_name": "LG",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-011033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "1633897",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "GALLAGHER",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.