Kristen M Kaufman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012152 Issued in IL

Practice address

53 W Jackson Blvd Ste 404
Chicago, IL 60604-3418

Phone

(410) 598-9222

NPI assigned

Feb 19, 2020

Last updated

Feb 19, 2020By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1063045953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 W MELROSE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573417",
            "telephone_number": "410-598-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W JACKSON BLVD STE 404",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043418",
            "telephone_number": "410-598-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "180.012152",
            "identifier": "180.012152",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chicago",
            "affiliation": "N",
            "address_1": "53 W Jackson Blvd Ste 404",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606043418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Kaufman
• Gary I Kaufman, M.D.
• Jacob J Kaufman, JD, MA
• Jessica Kaufman
• Joseph Kaufman, LCSW
• Kyle Kaufman, PT, DPT
• Lawrence M Kaufman, M.D.
• Louis R Kaufman, DDS
• Mara Isabella Kaufman
• Maria Kaufman

• Professional Counselor in Chicago, IL
• Providers in Chicago, 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 19, 2020; 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.