Active NPI
Quincey F Kyles, LCSW
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1154550333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015349
- Practice address
- 2650 W Montrose Ave Ste 205
Chicago, IL 60618-1674 - Phone
- (404) 543-5654
- Fax
- (312) 275-7564
- NPI assigned
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149015349 | IL | Primary |
Addresses
Primary practice location
2650 W Montrose Ave Ste 205
Chicago, IL 60618-1674
Mailing address
2650 W Montrose Ave Ste 205
Chicago, IL 60618-1674
Phone (404) 543-5654
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
| License | State | Type | Specialty |
|---|---|---|---|
| 149015349 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincey F. Kyles Counseling Services, LLC. | Current | Accepting new patients |
Locations
2650 W Montrose Ave
Ste 205
Chicago, IL 60618
Phone (404) 543-5654
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Chicago, IL
- NPI 1619589264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1154550333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 W MONTROSE AVE STE 205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181674",
"telephone_number": "404-543-5654",
"fax_number": "312-275-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 W MONTROSE AVE STE 205",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181674",
"telephone_number": "404-543-5654",
"fax_number": "312-275-7564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYLES",
"first_name": "QUINCEY",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-08",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015349",
"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 Feb 2, 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.