Kristen Mackenzie Unterberg, L.C.P.C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180.006100 Issued in IL

Practice address

926 Towne Ave
Batavia, IL 60510-3547

Phone

(630) 803-3368

NPI assigned

May 21, 2008

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 4, 2024 through Jan 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stafford Counseling, Inc

  • Professional Counselor
  • Naperville, IL
  • NPI 1992240204
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1962669424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N BATAVIA AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101923",
            "telephone_number": "630-803-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 TOWNE AVE",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605103547",
            "telephone_number": "630-803-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTERBERG",
        "first_name": "KRISTEN",
        "middle_name": "MACKENZIE",
        "credential": "L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.006100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jones Trask
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• Alexandra Anna Tsang, PSY.D.
• Tusks Enterprises Inc
• Two Steps Ahead Podiatry, Inc.
• Urban Medical Supply LLC
• Courtney Van Acker, MA, LPC, NCC
• Noelle Van Linden
• Shalini Varshney, DROT
• Bonnie J Vastola-Lewan, D.O.

• Mental Health Counselor in Batavia, IL
• Providers in Batavia, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.