Individual provider Active NPI

Kathryn Owen, LMHC-A

  • Mental Health Counselor
  • Munster, IN
National Provider Identifier
1942973391
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88002552A Issued in IN
Practice address
900 Ridge Rd Ste T
Munster, IN 46321-1727
Phone
(219) 213-6009
NPI assigned
Jul 30, 2021
Last updated
Oct 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 88002552A IN Primary

Addresses

Primary practice location

900 Ridge Rd Ste T
Munster, IN 46321-1727

Mailing address

1023 Riverlane Dr
Lake Station, IN 46405-1945
Phone (219) 973-5815

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
88002552AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Animal Assisted Counseling of Indiana Mental Health CurrentSince Oct 19, 2024 Accepting new patients

Locations

900 Ridge Rd
Ste T
Munster, IN 46321
Phone (219) 213-6009

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1942973391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 RIVERLANE DR",
            "city": "LAKE STATION",
            "state": "IN",
            "postal_code": "464051945",
            "telephone_number": "219-973-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD STE T",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211727",
            "telephone_number": "219-213-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "KATHRYN",
        "credential": "LMHC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88002552A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.