Active NPI
Bernard Kinsey
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1326811860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 219 W Chicago Ave
Chicago, IL 60654-5600 - Phone
- (708) 969-4376
- NPI assigned
- Nov 6, 2023
- Last updated
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
219 W Chicago Ave
Chicago, IL 60654-5600
Mailing address
219 W Chicago Ave
Chicago, IL 60654-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47-3605761 | Other | FAMILY SOLUTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1326811860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606545600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 W CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606545600",
"telephone_number": "708-969-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSEY",
"first_name": "BERNARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY SOLUTIONS",
"identifier": "47-3605761",
"state": null
}
],
"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 Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.