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KATHLEEN DONAHUE
NPI 1639506702
Counselor - Professional in Peoria, IL

Active since October 03, 2013PECOS EnrolledAccepts Medicare Assignment
2011 N KNOXVILLE AVE, PEORIA, IL 61603(309) 687-7954(309) 687-7999 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Donahue NPPES

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

KATHLEEN DONAHUE (NPI 1639506702) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.005815) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1639506702
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN DONAHUE
Location Address2011 N KNOXVILLE AVEPeoria, IL 61603-2414
Mailing Address2011 N Knoxville AvePeoria, IL 61603-2414 · (309) 687-7954 · Fax (309) 687-7999
Phone(309) 687-7954
Fax(309) 687-7999
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 3, 2013
✔ NPI 1639506702 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 · 180.005815
2011 N KNOXVILLE AVE, Peoria, IL 61603
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Other Identifiers 1

Other1740533900IL · Npi

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 Donahue 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 ID5698281160
PECOS Enrollment IDI20250722001312
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 20

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

MR. KEVIN WILLIAM ALDRIDGE
Counselor
2011 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 687-7933
MRS. JENNIFER LYNN CHIRAS M.S.
Counselor (Mental Health)
2011 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 687-7911
MRS. FAYE KESSELMAYER MSW LCSW
Social Worker (Clinical)
2011 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 687-7413
BETH WEINBERG-GORDON
Social Worker (Clinical)
2011 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 687-7972
MR. JOSEPH JAMES BURROWS
Counselor
2011 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 687-7751
MR. TIMOTHY CAIN MAC
Counselor (Mental Health)
2011 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 687-7768
RENEE GODDARD MS
Counselor (Mental Health)
2011 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 687-7920
ELIZABETH FRAZIER
Social Worker
2011 N KNOXVILLE AVE
PEORIA, IL 61603
Peoria County (309) 687-7769

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 Donahue's NPI number?

The NPI number for Kathleen Donahue is 1639506702. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Where is Kathleen Donahue located?

Kathleen Donahue practices at 2011 N Knoxville Ave, Peoria, IL 61603. The listed phone number is (309) 687-7954.

What is Kathleen Donahue's specialty?

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

Is Kathleen Donahue enrolled in Medicare?

Yes. Kathleen Donahue 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 Donahue was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.