Individual provider Active NPI

Kayla McGill, LCPC

  • Mental Health Counselor
  • Downers Grove, IL
National Provider Identifier
1104488980
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180011591 Issued in IL
Practice address
6912 Main St Ste 30
Downers Grove, IL 60516-3447
Phone
(708) 713-5094
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180011591 IL Primary

Addresses

Primary practice location

6912 Main St Ste 30
Downers Grove, IL 60516-3447

Mailing address

6912 Main St Ste 30
Downers Grove, IL 60516-3447
Phone (708) 713-5094

Other practice location 1

684 W Boughton Rd Ste 106
Bolingbrook, IL 60440-1781
Phone (630) 410-9578

Other identifiers 2

IdentifierTypeStateIssuer
180011591OtherILLICENSE
180011591OtherILSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.kbcounselingservices.com

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
180011591ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fash Counseling Inc. Mental Health PastSince Jul 24, 2022 Accepting new patients
Pivotal Health and Wellness LLC PastSince Oct 30, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1104488980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 MAIN ST STE 30",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163447",
            "telephone_number": "708-713-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 MAIN ST STE 30",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163447",
            "telephone_number": "708-713-5094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "684 W Boughton Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401781",
            "country_code": "US",
            "telephone_number": "630-410-9578",
            "fax_number": "630-296-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "KAYLA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180011591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "180011591",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "180011591",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kbcounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "6912 Main St Ste 30",
            "city": "Downers Grove",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605163447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.