KIN THERAPY COLLECTIVE PLLC
Counselor (Professional)

Address: 4633 N Western Ave Ste 200, Chicago, IL 60625-2181

KIN THERAPY COLLECTIVE PLLC (NPI# 1720669534) 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) 1720669534
Entity Type Organization
Organization Name KIN THERAPY COLLECTIVE PLLC
Practice Address 4633 N Western Ave Ste 200
Chicago
IL 60625-2181
Practice Telephone 3022301531
Mailing Address 5718 N Winthrop Ave Apt 608
Chicago
IL 60660-4370
Mailing Telephone 3022301531
Certification Date 2021-04-14
Enumeration Date 2021-04-14
Last Update Date 2021-04-14
Authorized Official Telephone 3022301531
Authorized Official Credential LCPC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101YP2500X Counselor
Specialization: Professional
193400000X MULTIPLE SINGLE SPECIALTY GROUP Behavioral Health & Social Service Providers

Other Provider Identifiers

Identifier State Issuer Type Code
1447630769 IL MEDICAID

Office Location

Street Address 4633 N WESTERN AVE STE 200
City CHICAGO
State IL
Zip Code 60625-2181

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881169027 Nourishment Works PC Nutritionist - Nutrition, Education 4633 N Western Ave Ste 202, Chicago, IL 60625-2181 2018-10-03
1699268763 Daniel Adams, Lcpc, LLC Counselor - Professional 4633 N Western Ave Ste 209, Chicago, IL 60625-2181 2018-06-12
1669843561 Birch River Wellness, P.C. Social Worker - Clinical 4633 N Western Ave Ste 201, Chicago, IL 60625-2181 2015-10-18
1144602368 Propsy, Inc. Psychologist - Clinical 4633 N Western Ave, Suite 204, Chicago, IL 60625-2181 2015-06-24
1225416613 Biodynamic Health Systems Acupuncturist 4633 N Western Ave, Chicago, IL 60625-2181 2015-05-18
1356588438 Kuanwu Lin Psychologist - Clinical 4633 N Western Ave, Suite 204, Chicago, IL 60625-2181 2009-01-12
1336318872 Janna A. Henning Psychologist - Clinical 4633 N Western Ave, Loft Offices, Suite 200, Chicago, IL 60625-2181 2008-02-28
1699964635 Pamela Jean Bell Social Worker - Clinical 4633 N Western Ave, Suite 201, Chicago, IL 60625-2181 2007-10-16
1548483480 Kurt Matthew Mohning Social Worker - Clinical 4633 N Western Ave, Ste 211, Chicago, IL 60625-2181 2007-04-10
1285681080 Kathryn S Merkle Dietitian, Registered 4633 N Western Ave, #210, Chicago, IL 60625-2181 2006-05-27
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Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1134726615 B Wise Rehabilitation Pllc Physical Therapist 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 2020-10-07
1700490448 Anita Saini Pharmacist 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 2020-09-01
1699303164 Marina Karamanis Student in an Organized Health Care Education/Training Program Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 2020-03-31
1063050227 Jacqueline Guadalupe Saldana Behavioral Analyst 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 2019-12-18
1912557802 Six Senses Therapy LLC Social Worker - Clinical 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 2019-09-13
1982266110 Noreen Randhawa Family Medicine Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 2019-07-09
1588224307 Biana Modilevsky Internal Medicine 5145 N. California Ave, Department of Gme, Chicago, IL 60625 2019-06-14
1376102202 Nita Gupta Student in an Organized Health Care Education/Training Program Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 2019-06-13
1730647744 Molar City, P.C. Clinic/Center - Dental 4620 N Western Ave, Chicago, IL 60625 2019-03-08
1841763471 Alexandra Taskier Counselor 5359 N Bowmanville Ave., Chicago, IL 60625 2019-01-07
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245810969 Beckie Fischer Counselor - Professional 1250 W Grace St Apt 1, Chicago, IL 60613-2865 2021-04-08
1629657325 Lara L. Wolff, Lcpc, LLC Counselor - Professional 1746 W Winnemac Ave Apt 2s, Chicago, IL 60640-2747 2021-04-07
1487233441 Alexandra Therapy Pllc Counselor - Professional 224 W Saint Paul Ave Apt 2, Chicago, IL 60614-7643 2021-04-06
1104405521 Monica Lynn Garcia Counselor - Professional 1154 W Lunt Ave, Chicago, IL 60626-3590 2021-04-04
1841878469 Mary Beth Gillis Johnson Counselor - Professional 405 N Wabash Ave Unit 4009, Chicago, IL 60611-5684 2021-04-02
1891373932 John P Abad Counselor - Professional 903 N Racine Ave, Chicago, IL 60642-4127 2021-03-30
1063099695 Lisa Brown Counselor - Professional 11740 S Western Ave, Chicago, IL 60643-4732 2021-03-28
1992382725 Mariya Sirman Counselor - Professional 155 N Michigan Ave Ste 450, Chicago, IL 60601-7939 2021-03-26
1437736352 Sean Michael Berbert Counselor - Professional 1 E Erie St Ste 525-4684, Chicago, IL 60611-2740 2021-03-26
1821675026 Philip Darian Montgomery Counselor - Professional 2317 E 68th St Apt 1, Chicago, IL 60649-6278 2021-03-25
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Competitor

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City CHICAGO
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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.