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KATHRYN MARY SAMPLE LCPC
NPI 1457656068
Counselor - Professional in Dekalb, IL

Active since January 13, 2011
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875(815) 756-2944 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Mary Sample Lcpc NPPES

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

KATHRYN MARY SAMPLE LCPC (NPI 1457656068) is an individual professional provider in Dekalb, Illinois, licensed in Illinois (180007627) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1457656068
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHRYN MARY SAMPLECredential: LCPC
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing Address12 Health Services DrDekalb, IL 60115-9637 · (815) 756-4875 · Fax (815) 756-2944
Phone(815) 756-4875
Fax(815) 756-2944
Sole ProprietorNo
Enumeration DateJanuary 13, 2011
✔ NPI 1457656068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180007627
12 HEALTH SERVICES DR, Dekalb, IL 60115
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Other Names 1

Former Name (1)Kathryn Mary Nakonechny

Other Providers at the Same Location NPPES 20

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

JENNIFER L WEBER LSW, CADC
Social Worker (Clinical)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CHRISTI JOHNSON B.S., M.H.P.
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CHRISTINE ALEXANDRA ESPE MAXWELL MSED, LCPC, NCC
Counselor
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
TATJANA N WILLIAMS LSW
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
JASMINE YOUNG
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
CASSIE DODD
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
REBECCA LEACH
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875
VALERIE PENA-HERNANDEZ
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Dekalb County (815) 756-4875

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 Kathryn Sample's NPI number?

The NPI number for Kathryn Sample is 1457656068. It was assigned to this individual provider in the NPPES registry on January 13, 2011. The provider is also known as Kathryn Mary Nakonechny.

Where is Kathryn Sample located?

Kathryn Sample practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Kathryn Sample's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kathryn Sample was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.