MRS. KATHERINE ROSE KENNEDY BARRY (NPI# 1083964381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083964381 |
| Entity Type | Individual |
| Full Name | MRS. KATHERINE ROSE KENNEDY BARRY |
| Other Name | KATHERINE ROSE KENNEDY |
| Credential | MA |
| Practice Address |
3504 Commercial Ave Northbrook IL 60062-1821 |
| Mailing Address |
1104 W Montana St 2 Chicago IL 60614-2221 |
| Practice Telephone | 8472725111 |
| Mailing Telephone | 6082952830 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2015-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.008171 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104100924 | Katherine Marie Barry | Speech-Language Pathologist | 16 Highland Ave, Massena, NY 13662-1737 | 2011-09-29 |
| Street Address |
3504 COMMERCIAL AVE |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174746432 | Kimberly J. Berenberg | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2007-04-11 |
| 1730798588 | Aileen Tobias | Behavior Technician | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2020-07-28 |
| 1982257374 | Natalie Wolfe | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-07-24 |
| 1184282212 | Kelly Larson | Assistant Behavior Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-06-04 |
| 1083179576 | Kylene Henthorn | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-02-08 |
| 1871058644 | Rebecca Rae De Rosa | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2019-02-06 |
| 1811436561 | Julie Brannen | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2017-02-14 |
| 1942671599 | Detelina Coons | Behavioral Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2015-10-08 |
| 1992184295 | Helen Maritim-adipo | Behavioral Analyst | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2015-05-20 |
| 1013257658 | Lindsay Anne Stuart | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2013-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245866987 | Benjamin James Goldberg | Counselor | 910 Skokie Blvd Ste 220, Northbrook, IL 60062-4000 | 2020-03-13 |
| 1568952232 | Sociability Therapy, LLC | Counselor | 899 Skokie Blvd # 204899, Northbrook, IL 60062-4019 | 2018-05-17 |
| 1205323656 | Steven Topper | Counselor | 60 Revere Dr Ste 200, Northbrook, IL 60062-1574 | 2018-04-20 |
| 1124535125 | Dr. Sarah Allen Inc | Counselor | 3400 Dundee Rd Ste 245, Northbrook, IL 60062-2346 | 2017-12-29 |
| 1891186383 | Center for Christian Life Enrichment | Counselor | 3100 Dundee Rd Ste 102, Northbrook, IL 60062-2462 | 2015-02-05 |
| 1740681410 | Lori Tolan | Counselor | 910 Skokie Blvd Ste 215, Northbrook, IL 60062-4033 | 2014-09-11 |
| 1669754354 | Joann Marie Chassman | Counselor | 2219 Crabtree Ln, Northbrook, IL 60062-3519 | 2011-09-19 |
| 1154552420 | Michelle Shalin | Counselor | 1733 Birch Rd, Northbrook, IL 60062-5907 | 2009-08-04 |
| 1326266875 | Anne Rossen | Counselor | 450 Skokie Blvd Ste 505, Northbrook, IL 60062 | 2007-04-22 |
| 1174746432 | Kimberly J. Berenberg | Counselor | 3504 Commercial Ave, Northbrook, IL 60062-1821 | 2007-04-11 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on MRS. KATHERINE ROSE KENNEDY BARRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.