Individual provider Active NPI

Linda Lou Kuntner, PSY.D.

  • Intellectual & Developmental Disabilities Psychologist
  • Round Lake, IL
National Provider Identifier
1225193683
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
Practice address
21859 W Lake Dr
Round Lake, IL 60073-9605
Phone
(847) 223-9788
Fax
(847) 548-4005
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X IL
Intellectual & Developmental Disabilities Psychologist 103TM1800X IL Primary

Addresses

Primary practice location

21859 W Lake Dr
Round Lake, IL 60073-9605

Mailing address

21859 W Lake Dr
Round Lake, IL 60073-9605
Phone (847) 223-9788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 20, 2016 through Apr 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071-001883ILMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1225193683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21859 W LAKE DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600739605",
            "telephone_number": "847-223-9788",
            "fax_number": "847-548-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21859 W LAKE DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600739605",
            "telephone_number": "847-223-9788",
            "fax_number": "847-548-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNTNER",
        "first_name": "LINDA",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake, IL

Sources for this page

Verify at the official NPI Registry.