Kyj Mental Health Associates LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KYJ MENTAL HEALTH ASSOCIATES LLC

Practice address

376 Hoxie Ave
Calumet City, IL 60409-2314

Phone

(708) 262-9018

NPI assigned

Oct 8, 2024

Organization subpart

No

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

Authorized official

Name

Kibibi Jordan

Title

Owner

Phone

(708) 262-9018

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1033938873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 HOXIE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092314",
            "telephone_number": "708-262-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 HOXIE AVE",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604092314",
            "telephone_number": "708-262-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYJ MENTAL HEALTH ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "KIBIBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-262-9018"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A Kolling-Rickards, O.D.
• Thomas Kondellas, DDS
• KS Jet- I Transportation, Inc
• Oladapo Olayinka Kukoyi
• Srinivasu Kusuma, M.D.
• Nicole Lambert, DDS
• Jeff D Langefeld, D.M.D.
• Cameron Layton Lapp, O.D.
• Lavea Lace Custom Wigs and Hairpieces LLC
• Learn Through Play Developmental Therapy Services P/C

• Professional Counselor in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.