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MISS KATHRYN ANNE MARIE PROVENZANO LCPC
NPI 1518064294
Counselor - Professional in Cary, IL

Active since September 17, 2006
1100 COUGAR TRL, CARY, IL 60013(888) 291-2538(847) 516-2510 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Kathryn Anne Marie Provenzano Lcpc NPPES

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

MISS KATHRYN ANNE MARIE PROVENZANO LCPC (NPI 1518064294) is an individual professional provider in Cary, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1518064294
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS KATHRYN ANNE MARIE PROVENZANOCredential: LCPC
Location Address1100 COUGAR TRLCary, IL 60013-6057
Mailing Address1100 Cougar TrlCary, IL 60013-6057 · (888) 291-2538 · Fax (847) 516-2510
Phone(888) 291-2538
Fax(847) 516-2510
Sole ProprietorNo
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1518064294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1100 COUGAR TRL, Cary, IL 60013
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified214685

Other Providers at the Same Location NPPES 6

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

BEHAVIORAL HEALTH PROVIDERS P C
Psychologist (Clinical)
1100 COUGAR TRL
CARY, IL 60013
McHenry County (888) 291-2538
WELLQOR PSYCHOLOGICAL SERVICES OF ILLINOIS, P.C.
Psychologist
1100 COUGAR TRL
CARY, IL 60013
McHenry County (516) 987-4200
DR. JAMES DENNIS MCTAGUE PSY.D.
Psychologist (Clinical)
1100 COUGAR TRL
CARY, IL 60013
McHenry County (888) 291-2538
MISS VICTORIA BROWN LCSW
Social Worker (Clinical)
1100 COUGAR TRL
CARY, IL 60013
McHenry County (888) 291-2538
ENVISION PSYCHOLOGICAL SERVICES, P.C.
Psychologist (Clinical)
1100 COUGAR TRL
CARY, IL 60013
McHenry County (815) 388-9071
MARTY B MCLAUGHLIN L.C.S.W.
Social Worker (Clinical)
1100 COUGAR TRL
CARY, IL 60013
McHenry County (888) 291-2538

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 Provenzano's NPI number?

The NPI number for Kathryn Provenzano is 1518064294. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Kathryn Provenzano located?

Kathryn Provenzano practices at 1100 Cougar Trl, Cary, IL 60013. The listed phone number is (888) 291-2538.

What is Kathryn Provenzano'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 Provenzano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.