Organization Active NPI

Kind Therapy and Wellness, Inc.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1205484623
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KIND THERAPY AND WELLNESS, INC.
Practice address
4910 N Lincoln Ave Ofc 1
Chicago, IL 60625-8529
Phone
(773) 789-9524
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Amanda Besinger, LCSW
Title
Director
Phone
(773) 789-9524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4910 N Lincoln Ave Ofc 1
Chicago, IL 60625-8529

Mailing address

4910 N Lincoln Ave Ofc 1
Chicago, IL 60625-8529

National Provider Directory

National Provider Directory

Locations

4910 N Lincoln Ave
Ste 1
Chicago, IL 60625
Phone (773) 789-9524

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1205484623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 N LINCOLN AVE OFC 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606258529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 N LINCOLN AVE OFC 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606258529",
            "telephone_number": "773-789-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND THERAPY AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "BESINGER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-789-9524",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Aug 28, 2019; 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.