Address: 4124 N Lincoln Ave Ste 1c, Chicago, IL 60618-3286

KYLA RENEE DANNELKE (NPI# 1164938163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164938163
Entity Type Individual
Gender Female
Credential MA, LCPC.
Practice Address 4124 N Lincoln Ave Ste 1c
IL 60618-3286
Practice Telephone 8722166131
Practice Fax Number 8722410100
Mailing Address 4124 N Lincoln Ave Ste 1c
IL 60618-3286
Mailing Telephone 8722166131
Mailing Fax Number 8722410100
Certification Date 2020-07-22
Enumeration Date 2017-12-28
Last Update Date 2020-07-22
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor 178.012509 IL Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
180011257 IL Behavioral Health & Social Service Providers

Office Location

Street Address 4124 N LINCOLN AVE STE 1C
State IL
Zip Code 60618-3286

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922691559 Kyla R. Dannelke, LLC Counselor - Professional 4124 N Lincoln Ave Ste 1c, Chicago, IL 60618-3286 2021-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023567765 Dorrie Ferguson Counselor 4124 N Lincoln Ave, Suite 1, Chicago, IL 60618-3286 2016-09-22
1487164984 Julie Bradish Social Worker - Clinical 4124 N Lincoln Ave Ste 100, Chicago, IL 60618-3286 2017-10-10

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1831521129 Terri J Malec Boss Occupational Therapist 2630b West Bradley Place, Chicago, IL 60618 2013-08-08
1962920116 Alif Muhammad Counselor - Professional 3819 W Cornelia Ave #2, Chicago, IL 60618 2017-09-07
1295127322 Laura Rae Quigley Nurse Practitioner 1611 W Harrison St., Ste 300, Chicago, IL 60618 2015-02-26
1760952626 Prep Performance Center, LLC Clinic/Center - Physical Therapy 4022 N Rockwell Street, Chicago, IL 60618 2018-12-04
1417471178 Daniel Lee Mcmillan Counselor 3433 N. Ridgeway Ave, Apt G, Chicago, IL 60618 2017-08-03
1194060897 Amber Barger Psychologist - Clinical 2650 W Montrose Ave Ste 307, Chicago, IL 60618 2012-12-06
1609291673 Emily Catherine Gill · Emily Catherine Puerling Occupational Therapist 3020 N Hoyne Ave # 1, Chicago, IL 60618 2014-02-27
1003258765 Mary Catherine Casey Physical Therapist 4022 N Rockwell, Chicago, IL 60618 2013-07-23
1285021428 Midamerica Home Physicians, Inc. Health Maintenance Organization 2244 W. Fullerton Ave., Chicago, IL 60618 2015-04-24
1528540986 Ruby Erdmann Dietitian, Registered 3126 N Kimball Ave. #3w, Chicago, IL 60618 2018-09-02
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
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Zip Code 60618

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.