KATHERINE JANE FORD LCPC
NPI 1629838701
Counselor - Professional in Bradley, IL

Active since March 19, 2024PECOS Enrolled
265 STEBBINGS CT STE 1, BRADLEY, IL 60915(815) 200-8653 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katherine Jane Ford Lcpc NPPES

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

KATHERINE JANE FORD LCPC (NPI 1629838701) is an individual professional provider in Bradley, Illinois, licensed in Illinois (180008034) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1629838701
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHERINE JANE FORDCredential: LCPC
Location Address265 STEBBINGS CT STE 1Bradley, IL 60915-1282
Mailing Address1018 S Poplar AveKankakee, IL 60901-5556 · (815) 263-0679
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1629838701 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 · 180008034
265 STEBBINGS CT STE 1, Bradley, IL 60915

Other Names 1

Former Name (1)Katherine Jane Ondersma

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Jane Ford Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42776221
PECOS Enrollment IDI20260728003986
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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Ford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
750 ALMAR PKWY, SUITE 205
Bourbonnais, IL 60914
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Counselor
265 STEBBINGS CT STE 1
BRADLEY, IL 60915
Social Worker
265 STEBBINGS CT STE 1
BRADLEY, IL 60915
Social Worker (Clinical)
265 STEBBINGS CT STE 1
BRADLEY, IL 60915
Counselor
265 STEBBINGS CT STE 1
BRADLEY, IL 60915
Social Worker
265 STEBBINGS CT STE 1
BRADLEY, IL 60915
Counselor (Professional)
265 STEBBINGS CT STE 1
BRADLEY, IL 60915

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 Katherine Ford's NPI number?

The NPI number for Katherine Ford is 1629838701. It was assigned to this individual provider in the NPPES registry on March 19, 2024. The provider is also known as Katherine Jane Ondersma.

Where is Katherine Ford located?

Katherine Ford practices at 265 Stebbings Ct Ste 1, Bradley, IL 60915. The listed phone number is (815) 200-8653.

What is Katherine Ford's specialty?

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

Is Katherine Ford enrolled in Medicare?

Yes. Katherine Ford is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katherine Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Ford reassigns Medicare benefits to Megan J. Campbell, Art Therapy Inc. (Bourbonnais, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Ford accept?

Health plans from Oscar Health list Katherine Ford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Ford was last updated on March 19, 2024. 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.