Active NPI
Kiera Schultz
- Mental Health Counselor
- Aurora, IL
National Provider Identifier
1336819119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 309 New Indian Trail CT
Aurora, IL 60506-2411 - Phone
- (630) 465-9932
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB700782 | IN | |
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
309 New Indian Trail CT
Aurora, IL 60506-2411
Mailing address
515 Chester CT W
Aurora, IL 60504-5229
Phone (630) 800-7189
Other practice location 1
374 Meridian Parke Ln
Greenwood, IN 46142-9406
Phone (317) 889-5437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB700782 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Programming Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Indianapolis, IN
- NPI 1770706160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1336819119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CHESTER CT W",
"city": "AURORA",
"state": "IL",
"postal_code": "605045229",
"telephone_number": "630-800-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 NEW INDIAN TRAIL CT",
"city": "AURORA",
"state": "IL",
"postal_code": "605062411",
"telephone_number": "630-465-9932"
}
],
"practiceLocations": [
{
"address_1": "374 Meridian Parke Ln",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "IN",
"postal_code": "461429406",
"country_code": "US",
"telephone_number": "317-889-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTZ",
"first_name": "KIERA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "BACB700782",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.