Individual provider Active NPI

Kathryn Garcia

  • Mental Health Counselor
  • Willow Springs, IL
National Provider Identifier
1891494662
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
178.018758 Issued in IL
Practice address
8695 Archer Ave Ste 21
Willow Springs, IL 60480-1283
Phone
(708) 381-0897
NPI assigned
Mar 1, 2023
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.018758 IL Primary

Addresses

Primary practice location

8695 Archer Ave Ste 21
Willow Springs, IL 60480-1283

Mailing address

6820 W Winding TRL Unit 402
Oak Forest, IL 60452-5214
Phone (315) 399-3162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178.018758ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Karuna Wellness LLC CurrentSince Mar 5, 2023 Accepting new patients

Locations

8695 Archer Ave
Ste 12
Willow Springs, IL 60480
Phone (708) 381-0897

8695 Archer Ave
Ste 21
Willow Springs, IL 60480
Phone (708) 381-0897

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1891494662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 W WINDING TRL UNIT 402",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604525214",
            "telephone_number": "315-399-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8695 ARCHER AVE STE 21",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801283",
            "telephone_number": "708-381-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.018758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.