NPIMap

Organization Active NPI

KGH Consultation & Treatment, Inc.

Doing business as KGH Autism Services

  • Behavior Analyst
  • Deerfield, IL
National Provider Identifier
1073840740
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KGH CONSULTATION & TREATMENT, INC.
Doing business as
KGH Autism Services
Practice address
1161 Lake Cook Rd
Deerfield, IL 60015-5649
Phone
(847) 498-5437
Fax
(847) 498-5438
NPI assigned
Nov 17, 2009
Reactivated
May 11, 2020
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Kimberly Garvey Hoehne, MA,BCBANPI 1609018787
Title
Ceo
Phone
(847) 498-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Child & Adolescent Psychologist 103TC2200X NU
Occupational Therapist 225X00000X 612826 WI
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Behavior Analyst 103K00000X NU Primary
Behavior Technician 106S00000X NU

Addresses

Primary practice location

1161 Lake Cook Rd
Deerfield, IL 60015-5649

Mailing address

1161 Lake Cook Rd
Deerfield, IL 60015-5649
Phone (847) 498-5437

Other practice location 1

3113 W Beltline Hwy Ste 300
Madison, WI 53713-2934
Phone (608) 819-6810

Other names 1

  • KGH Autism Services Doing business as

National Provider Directory

National Provider Directory

Locations

1161 Lake Cook Rd
Deerfield, IL 60015
Phone (224) 284-2240

3100 Dundee Rd
Ste 704
Northbrook, IL 60062
Phone (847) 498-5437

3113 W Beltline Hwy
Ste 300
Madison, WI 53713
Phone (608) 819-6810

Practitioners & affiliated clinicians

Practitioners 250

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 250

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1073840740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155649",
            "telephone_number": "847-498-5437",
            "fax_number": "847-498-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 LAKE COOK RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155649",
            "telephone_number": "847-498-5437",
            "fax_number": "847-498-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3113 W Beltline Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537132934",
            "country_code": "US",
            "telephone_number": "608-819-6810",
            "fax_number": "608-819-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KGH CONSULTATION & TREATMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2022-03-09",
        "certification_date": "2021-12-30",
        "deactivation_date": "2020-04-23",
        "reactivation_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "HOEHNE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "GARVEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-498-5437",
        "authorized_official_credential": "MA,BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "612826",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KGH Autism Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.