Individual provider Active NPI

Kinjal Thakkar, BS, MHP

  • Mental Health Counselor
  • Elgin, IL
National Provider Identifier
1194374033
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1140 N McLean Blvd Ste I
Elgin, IL 60123-1782
Phone
(847) 695-3680
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1140 N McLean Blvd Ste I
Elgin, IL 60123-1782

Mailing address

569 Foxford Rd
Bartlett, IL 60103-1923
Phone (630) 965-3986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260102003009 PA Practitioner - Clinical Social Worker 2365938941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3811 Ohara St
Suite 250
Pittsburgh, PA 15213-2597

400 Elizabeth Dr Apt
Suite 4212
Pittsburgh, PA 15220-3341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Presbyterian Shadyside CurrentSince Dec 19, 2025 Accepting new patients
Upmc Presbyterian Shadyside CurrentSince Dec 19, 2025 Accepting new patients

Locations

3811 Ohara St
Pittsburgh, PA 15213
Phone (412) 624-2000

Interoperability endpoints

  • Direct secure messaging: kinjal.thakkar@upmcdirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1194374033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 FOXFORD RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031923",
            "telephone_number": "630-965-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD STE I",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "847-695-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "KINJAL",
        "credential": "BS, MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.