Individual provider Active NPI

Amy Kaskie, LPC, RYT-200

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1063968501
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178005520 Issued in IL
Practice address
10732 S Longwood Dr
Chicago, IL 60643-3311
Phone
(773) 456-4602
NPI assigned
Aug 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178005520 IL Primary

Addresses

Primary practice location

10732 S Longwood Dr
Chicago, IL 60643-3311

Mailing address

10732 S Longwood Dr
Chicago, IL 60643-3311
Phone (773) 456-4602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178005520ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1063968501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10732 S LONGWOOD DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433311",
            "telephone_number": "773-456-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10732 S LONGWOOD DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606433311",
            "telephone_number": "773-456-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKIE",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "LPC, RYT-200",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178005520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.