Active NPI
Dawn Leatherman-Kulis, MA, LPC
- Professional Counselor
- Westchester, IL
National Provider Identifier
1922604339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.013560
- Practice address
- 10439 W Cermak Rd
Westchester, IL 60154-3775 - Phone
- (773) 234-0423
- NPI assigned
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.013560 | IL | Primary |
Addresses
Primary practice location
10439 W Cermak Rd
Westchester, IL 60154-3775
Mailing address
10741 S Albany Ave
Chicago, IL 60655-2115
Phone (808) 738-9463
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.013560 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1922604339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10741 S ALBANY AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606552115",
"telephone_number": "808-738-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10439 W CERMAK RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601543775",
"telephone_number": "773-234-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEATHERMAN-KULIS",
"first_name": "DAWN",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-10",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.013560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.