Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathy A Willenborg, RN, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760770085

Kathy A Willenborg, RN, PMHNP-BC is a Nurse Practitioner in Anna, Illinois. Qualified in 2016, 10 years ago. Practices with Bootheel Counseling Services, a 23-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2011
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1000 N Main St
Anna, IL 62906-1652
Phone: (618) 202-6441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209016361 (IL)

Record details

NPI number1760770085
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESOctober 1, 2022
Certification dateOctober 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Bootheel Counseling Services — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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