Kaitlyn Koniuszy, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149018985 Issued in IL

Practice address

40B Edwardsville Prof Park
Edwardsville, IL 62025-3602

Phone

(618) 248-2040

Fax

(618) 248-2040

NPI assigned

Jun 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peaceful Minds Counseling, PLLC

  • Clinical Social Worker
  • Swansea, IL
  • NPI 1710777487
  NPD Authorized official
• Radzom Counseling LLC

  • Clinical Social Worker
  • Edwardsville, IL
  • NPI 1639462948
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013447762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620250101",
            "telephone_number": "618-248-2040",
            "fax_number": "618-248-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40B EDWARDSVILLE PROF PARK",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253602",
            "telephone_number": "618-248-2040",
            "fax_number": "618-248-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24B Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "IL",
            "postal_code": "620625669",
            "country_code": "US",
            "telephone_number": "618-248-2040",
            "fax_number": "618-248-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONIUSZY",
        "first_name": "KAITLYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149018985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brennan Klaassen, BSN, RN
• Steven Kleffner
• Jenna Suzanne Kleiboeker, BEHAVIOR TECHNICIAN
• Jamie Klingler
• Karli Koen
• Ryan Kovarik
• KR Counseling LLC
• Kristin L Krebs, LCSW
• Sarah Elizabeth Kruse, OD
• Paul Thomas Kundrick, DDS

• Mental Health Counselor in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.