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Active NPI 1457656068 Individual Practitioner Female Practitioner

Kathryn Mary Sample , LCPC

Counselor - Professional • Dekalb, IL

Professional Overview & Biography Verified Profile Summary

Kathryn Sample, LCPC is a registered healthcare professional specializing in Counselor - Professional in Dekalb, IL. Practice services are available at 12 HEALTH SERVICES DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Health Services Dr

Dekalb, IL 601159637

Telephone 8157564875
Fax 8157562944
Associated Practice Facility / Clinic
🏢 Ben Gordon Center Facility NPI 1922277631

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Dekalb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.8 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Dekalb, IL (9683 Statewide)

Telehealth Adoption Rate
5.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180007627

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Weber , LSW, CADC

Social Worker - Clinical

NPI 1003189051

Licensed Social Worker, Certified Alcohol and Drug Counselor

Christi Johnson , BS, MHP

Counselor - Mental Health

NPI 1003285370

Bachelor of Science, Mental Health Practitioner

NPI 1003368739

Master of Science in Education, Licensed Clinical Professional Counselor, National Certified Counselor

NPI 1003395088

Licensed Social Worker

Jasmine Young

Counselor - Mental Health

NPI 1013445832
Cassie Dodd

Counselor - Mental Health

NPI 1013766377

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2011

Registered at 12 HEALTH SERVICES DR, DEKALB, IL 601159637 (Tel: 8157564875)

📍
Updated Business Mailing Address January 13, 2011

Registered at 12 HEALTH SERVICES DR, DEKALB, IL 601159637 (Tel: 8157564875)

👤
Provider Name / Credentials Updated January 13, 2011

Recorded as KATHRYN SAMPLE, LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2011

Counselor (License #180007627 in IL)

🟢
Initial NPI Registration & Enumeration January 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457656068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2011
Last Update: January 13, 2011
Sole Proprietor: No

Mailing Address

12 Health Services Dr

Dekalb, IL 601159637

Phone: 8157564875

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.