Individual provider · Type 1 NPI

Kate Penkethman

Professional Counselor · Chicago, IL

NPI number 1124880067 Active

Practice location

1757 N Kimball Ave Unit 202
Chicago, IL 60647-4805

Call (732) 456-4102 Map

Mailing address

4226 N Whipple St Apt 3W
Chicago, IL 60618-2529

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X180.018631

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About NPI 1124880067

Kate Penkethman's National Provider Identifier is 1124880067, issued on Jan 25, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Aug 5, 2026.