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KATHLEEN GOLLY
NPI 1174306203
Counselor - Mental Health in Woodstock, IL

Active since August 14, 2023PECOS EnrolledAccepts Medicare Assignment
11618 MCCONNELL RD, WOODSTOCK, IL 60098(224) 400-9961 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Golly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN GOLLY (NPI 1174306203) is an individual mental health provider in Woodstock, Illinois, licensed in Illinois (180.014264) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174306203
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN GOLLY
Location Address11618 MCCONNELL RDWoodstock, IL 60098-7384
Mailing Address583 Carriage WaySouth Elgin, IL 60177-3292
Phone(224) 400-9961
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1174306203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.014264
11618 MCCONNELL RD, Woodstock, IL 60098
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Golly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486137379
PECOS Enrollment IDI20260310000722
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AGNIESZKA KRZEMINSKA LCPC, NCC, CCMHC
Counselor (Mental Health)
11618 MCCONNELL RD
WOODSTOCK, IL 60098
McHenry County (224) 400-9961
DR. ANNA M. STOKESBERRY PSY.D.
Psychologist (Clinical)
11618 MCCONNELL RD
WOODSTOCK, IL 60098
McHenry County (224) 400-9961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Golly's NPI number?

The NPI number for Kathleen Golly is 1174306203. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Kathleen Golly located?

Kathleen Golly practices at 11618 Mcconnell Rd, Woodstock, IL 60098. The listed phone number is (224) 400-9961.

What is Kathleen Golly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathleen Golly enrolled in Medicare?

Yes. Kathleen Golly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Golly was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.