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MISS KATHLEEN MARIE PENDERGAST LCPC
NPI 1750634358
Counselor - Professional in Chicago, IL

Active since October 19, 2012
2001 W NORTH AVE, CHICAGO, IL 60647(773) 217-8834 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2020, Oct 14, 2019 (2 updates tracked since 2019).

About Miss Kathleen Marie Pendergast Lcpc NPPES

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

MISS KATHLEEN MARIE PENDERGAST LCPC (NPI 1750634358) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180007897) and active in the NPI registry since October 2012. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750634358
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS KATHLEEN MARIE PENDERGASTCredential: LCPC
Location Address2001 W NORTH AVEChicago, IL 60647
Mailing Address1320 W Roscoe St # 2Chicago, IL 60657-1414 · (574) 261-7547
Phone(773) 217-8834
Sole ProprietorNo
Enumeration DateOctober 19, 2012
Last NPPES UpdateJanuary 30, 20202 updates tracked since enumeration
✔ NPI 1750634358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180007897✔ Licensed in IL · 180.007897
2001 W NORTH AVE, Chicago, IL 60647
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Secondary Practice Locations 2

Location 11320 W Roscoe St # 2Chicago, IL 60657-1414 · Phone (574) 261-7547
Location 22001 W North AveChicago, IL 60647 · Phone (773) 217-8834

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.

JENNIFER BUTLER LPC
Counselor (Professional)
2001 W NORTH AVE
CHICAGO, IL 60647
Cook County (312) 401-5439
KATHLEEN PENDERGAST LLC
Counselor (Professional)
2001 W NORTH AVE
CHICAGO, IL 60647
Cook County (574) 261-7547
KATHLEEN PENDERGAST LLC
Counselor (Professional)
2001 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 217-8834
VIVIAN TAK-LI HO LCSW
Social Worker (Clinical)
2001 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 888-1681
BRIAN KONG
Psychologist (Clinical)
2001 W NORTH AVE
CHICAGO, IL 60647
Cook County (872) 588-0220
MR. JOSEPH A BOVA
Counselor (Mental Health)
2001 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 888-1681

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 Pendergast's NPI number?

The NPI number for Kathleen Pendergast is 1750634358. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Where is Kathleen Pendergast located?

Kathleen Pendergast practices at 2001 W North Ave, Chicago, IL 60647. The listed phone number is (773) 217-8834.

What is Kathleen Pendergast'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 Kathleen Pendergast was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.