Kristin Burns Mind and Body

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

248-002249 Issued in IL

Legal business name

KRISTIN BURNS MIND AND BODY

Practice address

715 Lake St Ste 703
Oak Park, IL 60301

Phone

(312) 852-0515

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Kristin Burns, LCSWNPI 1316369630

Title

Owner

Phone

(312) 852-0515

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Burns, LCSW

  • Clinical Social Worker
  • River Forest, IL
  • NPI 1316369630
  NPD (past) Authorized official

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1194244400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 THATCHER AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051332",
            "telephone_number": "312-852-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 703",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "312-852-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN BURNS MIND AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-852-0515",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "248-002249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PPO",
            "identifier": "1316369630",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PPO",
            "identifier": "1316369630",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kathlyn Krahn, OTR
• Alix Kramer, LCSW
• Marcel P Krawczyk, DDS
• Cynthia Krebsbach, MPT
• Mary Kreis, OTR/L
• Zachary Kritzer, MT-BC
• Brianna M Krokaugger, DPT
• Michael Thomas Kronon, MD
• Daniel M. Kruss, MD
• Katelyn Ann Kruszynski, OTR/L

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

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