MATHIAS RANDOLPH KERGER LCPC; CADC, CRSS
NPI 1740065176
Counselor - Professional in Chicago, IL
- Individual
- Male
- Counselor
- Professional
About MATHIAS KERGER
This page provides the complete NPI Profile along with additional information for Mathias Kerger, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1740065176 assigned on August 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 18003548 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1740065176 Verify this NPI
- Provider Name
- MATHIAS RANDOLPH KERGER LCPC; CADC, CRSS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 655 W IRVING PARK RD APT 2506 CHICAGO, IL 60613
- Location Phone
- (773) 617-6217
- Mailing Address
- 655 W IRVING PARK RD APT 2506 CHICAGO, IL 60613
- Mailing Phone
- (773) 617-6217
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-24-2023
- Last Update Date
- 08-24-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 18003548
- License State
- IL
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740065176, enumerated as an "individual" on August 24, 2023.
The provider is located at 655 W IRVING PARK RD APT 2506 CHICAGO, IL 60613 and the phone number is (773) 617-6217.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
