Provider Demographics
NPI:1780576561
Name:VAN METER, KRISTIN (LCPC)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:
Last Name:VAN METER
Suffix:
Gender:X
Credentials:LCPC
Other - Prefix:
Other - First Name:GREY
Other - Middle Name:
Other - Last Name:VAN METER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:148 N LINCOLNWAY
Mailing Address - Street 2:
Mailing Address - City:NORTH AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542-1102
Mailing Address - Country:US
Mailing Address - Phone:504-388-0028
Mailing Address - Fax:
Practice Address - Street 1:1360 E IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-3202
Practice Address - Country:US
Practice Address - Phone:630-837-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.017211101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional