Provider Demographics
NPI:1083370209
Name:PFEIFFER, KATHERINE A (LCPC, LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29373 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1293
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8901 GOLF RD STE 301
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-4029
Practice Address - Country:US
Practice Address - Phone:847-318-9330
Practice Address - Fax:847-723-9583
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-11
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6548-125101YP2500X
IL180.010057101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional