Katie Lynn Hughes, LCPC

Individual provider Active NPI Mental Health Counselor · Minooka, IL

NPI 1982140240 · NPPES record last updated Jan 11, 2017

Key facts

NPI
1982140240
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
180.010721 (IL)
Practice address
304 W Mondamin St
Minooka, IL 60447-9096
Phone
(815) 260-6098
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
180.010721ILMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.010721 IL Yes

Addresses

Primary practice location

304 W Mondamin St
Minooka, IL 60447-9096

Mailing address

PO Box 608
Minooka, IL 60447-0608
Phone (815) 260-6098

Other providers in Minooka, IL

All providers in Minooka, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.