Mitchell Kupferberg, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

149.018685 Issued in IL

Practice address

1845 E Rand Rd
Ste. 106
Arlington Heights, IL 60004-4356

Phone

(773) 984-9672

NPI assigned

Dec 29, 2013

Last updated

Sep 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MRK Healing LLC

  • Clinical Social Worker
  • Arlington Heights, IL
  • NPI 1366987836
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1388275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1295156834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N PINE AVE",
            "address_2": "#3E",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600046168",
            "telephone_number": "773-984-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E RAND RD",
            "address_2": "STE. 106",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600044356",
            "telephone_number": "773-984-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPFERBERG",
        "first_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-29",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.018685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joe Kuhns, M.D.
• Siobhan Kumiega, DPT
• Dale W Kunckel, CSA
• Meghana Kunduru, MD
• Noam Kupfer
• Anjaly Kurian, PHARMD
• Dorota Kus, PT
• Lisa Kusumpa, MSW, LCSW
• Joseph L Kut, MD
• John Kuzelka

• Mental Health Counselor in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.