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NPI Code Detail

MEDICARE: KAITLYN OREAR

MEDICARE: KAITLYN OREAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor178.021820IL
2101Y00000XCounselor178.021820IL

General Provider Information

NPI Number : 1992531693
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN OREAR
Provider Business Mailing Address
First Line : 4481 ASH GROVE DR STE B
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-6359
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4481 ASH GROVE DR STE B
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62711-6359
Country : US
Telephone Number : 217-247-4421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2024
Last Update Date : 04/01/2026

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Directions to “ KAITLYN OREAR ” Practice Location

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