Individual provider Active NPI

Kara Janelle Lightbourne, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1922709575
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209026160 Issued in IL
Practice address
1699 E Woodfield Rd Ste 402
Schaumburg, IL 60173-4958
Phone
(253) 346-0133
NPI assigned
Mar 10, 2023
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209026160 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209026160 IL Primary

Addresses

Primary practice location

1699 E Woodfield Rd Ste 402
Schaumburg, IL 60173-4958

Mailing address

1699 E Woodfield Rd Ste 402
Schaumburg, IL 60173-4958
Phone (253) 346-0133

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809001501 IL Practitioner - Nurse Practitioner 6204374192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Clinical Services PLLCGroup PAC ID 7517395064, 30 clinicians

Practice addresses (Care Compare)

409 Illinois Ave
Unit 1D
Saint Charles, IL 60174-2966
Phone (630) 974-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209026160ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Clinical Services PLLC CurrentSince Nov 25, 2024 Accepting new patients
Edgewood Clinical Services, P.C. Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Psychology Specialists LTD Past Accepting new patients

Locations

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

1100 Jorie Blvd
Ste 300
Oak Brook, IL 60523
Phone (224) 900-7867

1699 E Woodfield Rd
Ste 402
Schaumburg, IL 60173
Phone (253) 346-0133

409 Illinois Ave
Unit 1A
St Charles, IL 60174
Phone (630) 377-5755

409 Illinois Ave
Unit 1D
St Charles, IL 60174
Phone (855) 205-4764

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, 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": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1922709575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 E WOODFIELD RD STE 402",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734958",
            "telephone_number": "253-346-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 E WOODFIELD RD STE 402",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734958",
            "telephone_number": "253-346-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTBOURNE",
        "first_name": "KARA",
        "middle_name": "JANELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026160",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209026160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.