KELLY KAZUKAUSKAS CLINICAL PROFESSIONAL COUNSELING, LLC
NPI 1831585751
Counselor - Professional in Chicago, IL
- Organization
- Counselor
- Professional
About KELLY KAZUKAUSKAS CLINICAL PROFESSIONAL COUNSELING, LLC
This page provides the complete NPI Profile along with additional information for Kelly Kazukauskas Clinical Professional Counseling, Llc, a provider established in Chicago, Illinois operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1831585751 assigned on April 2015. The practitioner's primary taxonomy code is 101YP2500X with license number 180.008591 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. Kelly Kazukauskas Clinical Professional Counseling, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Kelly Kazukauskas Ph.d., Lcpc, Crc (Owner)
- NPI
- 1831585751 Verify this NPI
- Provider Name
- KELLY KAZUKAUSKAS CLINICAL PROFESSIONAL COUNSELING, LLC
- Entity Type
- Organization
- Location Address
- 3105 S DEARBORN ST STE 246A CHICAGO, IL 60616
- Location Phone
- (312) 567-3506
- Mailing Address
- 13602 S TARA DR HOMER GLEN, IL 60491
- Mailing Phone
- (312) 933-1162
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2015
- Last Update Date
- 04-07-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.008591
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 180.008591 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831585751, enumerated as an "organization" on April 07, 2015.
The provider is located at 3105 S DEARBORN ST STE 246A CHICAGO, IL 60616 and the phone number is (312) 567-3506.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
