Kickstand Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KICKSTAND COUNSELING, PLLC

Practice address

5120 Main St Ste 103
Downers Grove, IL 60515-4667

Phone

(630) 640-5268

NPI assigned

Feb 14, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karla Buck, NCC, LCPC, CADC, CGPNPI 1649815754

Title

Owner, Clinical Counselor

Phone

(630) 640-5268

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karla Alaine Ciombor Buck, NCC, LCPC, CADC, CGP

  • Professional Counselor
  • Downers Grove, IL
  • NPI 1649815754
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1003611005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WOODMERE DR",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611503",
            "telephone_number": "630-640-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 MAIN ST STE 103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154667",
            "telephone_number": "630-640-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KICKSTAND COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER, CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "630-640-5268",
        "authorized_official_credential": "NCC, LCPC, CADC, CGP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadija T Khan, MD
• Ruta Jurgaityte Khan, APN
• Yasmeen Jamal Khan, M.D.
• Suchin Rajeev Khanna, MD
• Needah Khater
• Kids Above All Illinois
• Eithne Mary Kiely, LCSW
• Bobette T Kieser, CCC-SLP
• Alexander Jan Kieturakis, D.O.
• Mary Elizabeth Kikilas, DC

• Professional Counselor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.