Aimee Kackley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178013231 Issued in IL

Practice address

1112 Church St # 1W
Evanston, IL 60201-3604

Phone

(312) 237-1419

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Mental Health Counselor

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Inspire Counseling Center LLCGroup PAC ID 6800252669, 11 clinicians

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 and National Provider Directory roles.

• Inspire Counseling Center, LLC

  • Professional Counselor
  • Northbrook, IL
  • NPI 1295289726
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386161503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 CHURCH ST # 1W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013604",
            "telephone_number": "312-237-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 CHURCH ST # 1W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013604",
            "telephone_number": "312-237-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACKLEY",
        "first_name": "AIMEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "IL",
            "license": "937396",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178013231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodora Kapos Jurichko, RPH
• K J Philip MDSC
• Anna Stephanie Kabakov, PHARMD, MBA, BCPS
• Elizabeth Lauren Kacel, PHD
• Kyla Kachman, LCSW
• Shrinidhi Shrihari Kadkol, MD
• Laurie Kahn, M.A.
• Alexander Joseph Kahnweiler, DO
• Kaitlyn Whitebread LCPC PLLC
• Ruth Christina Kakumanu, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.