Individual provider Active NPI

Ayaka Kawamori

  • Counselor
  • Arlington Heights, IL
National Provider Identifier
1184357816
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
178017769 Issued in IL
Practice address
3400 W Stonegate Blvd Apt 807
Arlington Heights, IL 60005-1067
Phone
(708) 973-4277
NPI assigned
Jul 9, 2022
Last updated
Jul 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 178017769 IL Primary

Addresses

Primary practice location

3400 W Stonegate Blvd Apt 807
Arlington Heights, IL 60005-1067

Mailing address

3400 W Stonegate Blvd Apt 807
Arlington Heights, IL 60005-1067

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.claritychi.com/contact-us/ Direct

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
178017769ILMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1184357816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W STONEGATE BLVD APT 807",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W STONEGATE BLVD APT 807",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051067",
            "telephone_number": "708-973-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMORI",
        "first_name": "AYAKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178017769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.claritychi.com/contact-us/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2101 S Arlington Heights Rd Ste 116",
            "city": "Arlington Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600054142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.