Kristin Evelyn Patten, MA, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180008172 Issued in IL

Practice address

495 N Riverside Dr Ste 208
Gurnee, IL 60031

Phone

(224) 208-5228

NPI assigned

May 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Kristin Evelyn Weimer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Lifepoint Child & Family Therapy LTD

  dba LifePoint Child & Family Therapy

  • Professional Counselor
  • Gurnee, IL
  • NPI 1649739152
  NPD Authorized official
• Lifepoint Child Therapy LTD

  dba Lifepoint Therapy

  • Professional Counselor
  • Gurnee, IL
  • NPI 1699511832
  NPD Authorized official

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1952535312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 N RIVERSIDE DR STE 208",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600315920",
            "telephone_number": "224-208-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 N RIVERSIDE DR STE 208",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "224-208-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Newberry Ave",
            "address_2": "Unit 8",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600481923",
            "country_code": "US",
            "telephone_number": "224-208-5228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Newberry Ave",
            "address_2": "Unit 8",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600481923",
            "country_code": "US",
            "telephone_number": "224-208-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "KRISTIN",
        "middle_name": "EVELYN",
        "credential": "MA, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-13",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180008172",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180008172",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178005884",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "WEIMER",
            "middle_name": "EVELYN",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karmesh Patel, PT
• Rashmikant Shantilal Patel, MD
• Samirkumar R Patel
• Sutchin Patel, MD
• Twisha Patel
• Matthew D. Pearce, M.D.
• Pearle Vision
• April Ann Pearson, RN IBCLC
• Pediatrics in Motion
• Marie Pedrola, OT

• Professional Counselor in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.