Individual ProviderKay A. GottrichCounselorBehavioral Health & Social Service ProvidersPractice Address975 S Durkin Dr Ste 101a, Springfield, IL 62704-8903(217) 572-1617PECOS EnrollmentBased on the most recent information from CMS, provider Kay A. Gottrich does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255649349Provider TypeIndividualFull NameGottrich, Kay A.CredentialLCPCGenderFemaleSole ProprietorYesEnumeration Date9/22/2010Last Updated3/29/2019Contact InformationPractice LocationPractice Address975 S Durkin Dr Ste 101a, Springfield, IL 62704-8903Phone(217) 572-1617Fax(217) 303-8063Mailing LocationMailing Address975 S Durkin Dr Ste 101a, Springfield, IL 62704-8903Phone(217) 572-1617Fax(217) 303-8063Provider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense180004119Illinois