Sixty Forty Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SIXTY FORTY COUNSELING PLLC

Practice address

475 River Bend Rd Ste 306
Naperville, IL 60540-5277

Phone

(708) 828-4636

NPI assigned

Sep 25, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kyle L Lisowski, ED.S, LCPCNPI 1982114922

Title

Therapist

Phone

(708) 828-4636

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kyle Lee Lisowski, LCPC

  • Professional Counselor
  • New Lenox, IL
  • NPI 1982114922
  NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1134908676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 RIVER BEND RD STE 306",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405277",
            "telephone_number": "708-828-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 RIVER BEND RD STE 306",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405277",
            "telephone_number": "708-828-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIXTY FORTY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "LISOWSKI",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "708-828-4636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED.S, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Sink, MD
• Martha Siomos, FNP
• Pranali Sirohi, O.D.
• Janet Lynn Sitko, MSW/LCSW
• Sivakumar and Associates LLC
• SK Primary Care and Wellness Center, S.C.
• Stanislaw Jan Skaluba, MD
• Marilyn Skarbek, ACSM-CEP, NSCA-CSCS
• Brenda Dudley Skarin, CCC/SP
• David Alan Skarin, D.D.S., M.S.

• Professional Counselor in Naperville, IL
• Providers in Naperville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.