Kristy Camille-McKiness, ED.D, LCPC, ACS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178005432 Issued in IL

Practice address

1700 N. Farnsworth Ave,
Suite 21
Aurora, IL 60505

Phone

(331) 213-9706

Fax

(630) 692-4136

NPI assigned

Mar 12, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• KM Institute, LLC.

  • Professional Counselor
  • Aurora, IL
  • NPI 1184013930
  NPD Authorized official

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1164693651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N. FARNSWORTH AVE,",
            "address_2": "SUITE 21",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "331-213-9706",
            "fax_number": "630-692-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N. FARNSWORTH AVE,",
            "address_2": "SUITE 21",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60505",
            "telephone_number": "331-213-9706",
            "fax_number": "630-692-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLE-MCKINESS",
        "first_name": "KRISTY",
        "name_prefix": "Dr.",
        "credential": "ED.D, LCPC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178005432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Callaghan
• Julia Callahan
• Margaret Emma Hoeltje Camargo, MS, BCBA
• Donald R. Cameron, CRNA
• Racheal M Cameron, LPN
• Daniel Cammarano, D.C.
• Laura Scanlan Campbell
• Adam Campos
• Louis E Camras, M.D.
• Melanie Rae Cannady, DC

• 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 Dec 18, 2024; 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.