KATHERINE TEOFISTA FERRERIA-FONG LCPC
NPI 1801433180
Counselor - Professional in Chicago, IL

Active since December 05, 2019
5614 N MULLIGAN AVE, CHICAGO, IL 60646(904) 415-2919 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2023, Mar 25, 2023, May 4, 2021 and 1 more (4 updates tracked since 2019).

About Katherine Teofista Ferreria-fong Lcpc NPPES

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

KATHERINE TEOFISTA FERRERIA-FONG LCPC (NPI 1801433180) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.013592) and active in the NPI registry since December 2019. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1801433180
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHERINE TEOFISTA FERRERIA-FONGCredential: LCPC
Location Address5614 N MULLIGAN AVEChicago, IL 60646-6129
Mailing Address5614 N Mulligan AveChicago, IL 60646-6129 · (904) 415-2919
Sole ProprietorYes
Enumeration DateDecember 5, 2019
Last NPPES UpdateJuly 6, 20234 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1801433180 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 · 180.013592 Licensed in IL · 180013592 Licensed in IL · 178.014527
5614 N MULLIGAN AVE, Chicago, IL 60646

Secondary Practice Location 1

Location 14001 W Devon Avenue, Suite 334Chicago, IL 60646 · Phone (773) 364-6038

Other Providers at the Same Location NPPES

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
5614 N MULLIGAN AVE
CHICAGO, IL 60646

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 Ferreria-fong's NPI number?

The NPI number for Katherine Ferreria-fong is 1801433180. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Katherine Ferreria-fong located?

Katherine Ferreria-fong practices at 5614 N Mulligan Ave, Chicago, IL 60646. The listed phone number is (904) 415-2919.

What is Katherine Ferreria-fong'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 Katherine Ferreria-fong was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.