Paul L Konz, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.012387 Issued in IL

Practice address

1700 W Irving Park Rd Ste 205B
Chicago, IL 60613-2599

Phone

(312) 940-1816

NPI assigned

Nov 14, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Mindful Movement Counseling

  • Professional Counselor
  • Chicago, IL
  • NPI 1629688510
  NPD Authorized official

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1356986210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 205B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132599",
            "telephone_number": "312-940-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W IRVING PARK RD STE 205B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132599",
            "telephone_number": "312-940-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONZ",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Kontrick, MD
• Bohdan Kontsevyy, RSA, FNP
• Marinos Kontzialis
• Dedeepya Konuthula, M.D.
• Mackenzie Konz
• Alexander Il Joung Koo, MD
• Jah-Won Koo, M.D.
• Nathaniel Koo
• Erin Nicole Kooiker, PTA
• Joanna Marie Kooistra, M.S., BCBA

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.