Susan Mary Kinsman, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180-003563 Issued in IL

Practice address

412 N Lake St
Aurora, IL 60506-4106

Phone

(630) 947-2800

NPI assigned

Apr 13, 2018

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

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1134616352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064106",
            "telephone_number": "630-947-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N LAKE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064106",
            "telephone_number": "630-947-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSMAN",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180-003563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPT OF PROFESSIONAL REGULATION",
            "identifier": "180-003563",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Kingsley
• Kingsway ENT. Inc
• Anne M Kinn, DO
• Patricia Kinsella-Stallter, D.O.
• Thomas Bateman Kinsella, D.C.
• Kolette A Kirkenmeier, PA-C
• Megan Grace Kirsten, CCC-SLP
• Megan Kleemann
• Jennifer Ann Kleinfeld, MD
• Jennifer Kleist, MS, CCC-SLP

• Mental Health Counselor in Aurora, IL
• Providers in Aurora, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.