NPIMap

Organization Active NPI

Graceful Therapy, PLLC

  • Professional Counselor
  • Oswego, IL
National Provider Identifier
1932687332
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRACEFUL THERAPY, PLLC
Practice address
113 Main St Ste 203
Oswego, IL 60543-8593
Phone
(630) 733-9108
Fax
(630) 912-4242
NPI assigned
Jul 30, 2018
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kathryn Fish, LMFTNPI 1619375078
Title
Owner & Therapist
Phone
(630) 733-9108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 166.001164 IL
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

113 Main St Ste 203
Oswego, IL 60543-8593

Mailing address

113 Main St Ste 203
Oswego, IL 60543-8593
Phone (630) 733-9108

Other practice location 1

123 W Washington St Ste B-08
Oswego, IL 60543-8214
Phone (630) 733-9108

Other practice location 2

123 W Washington St Ste B-08
Oswego, IL 60543-8214
Phone (630) 733-9108

Other practice location 3

2683 Route 34
Oswego, IL 60543
Phone (630) 733-9108

Other practice location 4

31 W Downer Pl Ste 307308
Aurora, IL 60506-5123
Phone (630) 733-9108

National Provider Directory

National Provider Directory

Locations

31 W Downer Pl
Ste 307308
Aurora, IL 60506
Phone (630) 733-9108

113 Main St
Ste 203
Oswego, IL 60543
Phone (630) 733-9108

123 W Washington St
Ste B8
Oswego, IL 60543
Phone (630) 733-9108

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932687332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAIN ST STE 203",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438593",
            "telephone_number": "630-733-9108",
            "fax_number": "630-912-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST STE 203",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438593",
            "telephone_number": "630-733-9108",
            "fax_number": "630-912-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W Washington St Ste B-08",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438214",
            "country_code": "US",
            "telephone_number": "630-733-9108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 W Washington St Ste B-08",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605438214",
            "country_code": "US",
            "telephone_number": "630-733-9108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2683 Route 34",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "60543",
            "country_code": "US",
            "telephone_number": "630-733-9108",
            "fax_number": "630-912-4242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 W Downer Pl Ste 307308",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065123",
            "country_code": "US",
            "telephone_number": "630-733-9108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACEFUL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER & THERAPIST",
        "authorized_official_telephone_number": "630-733-9108",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.001164",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.