Healthcare Provider Details

I. General information

NPI: 1063298677
Provider Name (Legal Business Name): KAT COCKEY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 08/10/2025
Certification Date: 08/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 W BERTEAU AVE STE 204
CHICAGO IL
60613-1834
US

IV. Provider business mailing address

1311 HARVEY AVE
BERWYN IL
60402-1105
US

V. Phone/Fax

Practice location:
  • Phone: 608-618-4243
  • Fax:
Mailing address:
  • Phone: 678-596-9721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE COCKEY
Title or Position: THERAPIST AND OWNER
Credential: LCPC
Phone: 678-596-9721