Healthcare Provider Details

I. General information

NPI: 1801942651
Provider Name (Legal Business Name): KATHLEEN A TAAPKEN MA, LCPC, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 11/12/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 E 2ND ST
BEARDSTOWN IL
62618-1263
US

IV. Provider business mailing address

121 E 2ND ST
BEARDSTOWN IL
62618-1263
US

V. Phone/Fax

Practice location:
  • Phone: 217-323-2980
  • Fax: 217-323-3731
Mailing address:
  • Phone: 217-323-2980
  • Fax: 217-323-3731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number24048
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: