Katie Roemer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178.009972 Issued in IL

Practice address

9 Junction Dr W Ste 3
Glen Carbon, IL 62034-2931

Phone

(618) 972-1568

NPI assigned

May 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• KR Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Edwardsville, IL
  • NPI 1003590530
  NPD Authorized official

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1932519238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 OLIVIA LN",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341223",
            "telephone_number": "217-741-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 JUNCTION DR W STE 3",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342931",
            "telephone_number": "618-972-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEMER",
        "first_name": "KATIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.009972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abby Michelle Roth
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• Professional Counselor in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.