Individual provider Active NPI

Kirsten Marie McDonald Wind, LSW

  • Social Worker
  • Mount Prospect, IL
National Provider Identifier
1033854021
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
520 S Main St
Mt Prospect, IL 60056-3808
Phone
(630) 664-2066
NPI assigned
May 3, 2022
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

520 S Main St
Mt Prospect, IL 60056-3808

Mailing address

520 S Main St
Mt Prospect, IL 60056-3808
Phone (630) 664-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Grayslake LTD. CurrentSince Nov 24, 2024 Accepting new patients
Speakeasy Therapy PLLC Past Accepting new patients

Locations

106 Center St
Grayslake, IL 60030
Phone (847) 543-8400

1190 E Washington St
Grayslake, IL 60030
Phone (847) 477-0434

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1033854021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563808",
            "telephone_number": "630-664-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S MAIN ST",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563808",
            "telephone_number": "630-664-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIND",
        "first_name": "KIRSTEN",
        "middle_name": "MARIE MCDONALD",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Prospect, IL

Sources for this page

Verify at the official NPI Registry.