ELIZABETH ANN KIMURA MA, LPC, NCC, MT-BC
NPI 1851705123
Counselor - Professional in Chicago, IL
- Individual
- Female
- Counselor
- Professional
About ELIZABETH KIMURA
This page provides the complete NPI Profile along with additional information for Elizabeth Kimura, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1851705123 assigned on June 2014. The practitioner's primary taxonomy code is 101YP2500X with license number 178018166 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1851705123 Verify this NPI
- Provider Name
- ELIZABETH ANN KIMURA MA, LPC, NCC, MT-BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1737 N CAMPBELL AVE UNIT 1S CHICAGO, IL 60647
- Location Phone
- (847) 341-7993
- Mailing Address
- 1455 W GREGORY ST APT 1 CHICAGO, IL 60640
- Mailing Phone
- (478) 341-7993
- Mailing Fax
- (815) 788-1321
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-16-2014
- Last Update Date
- 06-27-2022
- Code Navigator
Location Map
Secondary Locations
- 1799 Kings Gate Ln
Crystal Lake, IL 60014
(815) 276-7786
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.
- 178018166
- 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 | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist | |
| 2 | 225A00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist | 11259 (IL) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851705123, enumerated as an "individual" on June 16, 2014.
The provider is located at 1737 N CAMPBELL AVE UNIT 1S CHICAGO, IL 60647 and the phone number is (847) 341-7993.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
