Individual provider Active NPI

Caryn Ann Schultz, LCSW

  • Mental Health Counselor
  • Aurora, IL
National Provider Identifier
1396881314
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149.003250 Issued in IL
Practice address
2740 White Barn Rd
Aurora, IL 60502-6332
Phone
(630) 336-4906
NPI assigned
Jan 29, 2007
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149.003250 IL Primary

Addresses

Primary practice location

2740 White Barn Rd
Aurora, IL 60502-6332

Mailing address

2740 White Barn Rd
Aurora, IL 60502-6332
Phone (630) 336-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151009000094 IL Practitioner - Clinical Social Worker 7618285750 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.003250ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Service of Aurora CurrentSince Sep 4, 2015 Accepting new patients
Family Counseling Service of Aurora CurrentSince Sep 4, 2015 Accepting new patients

Locations

70 S River St
Aurora, IL 60506
Phone (630) 844-2662

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1396881314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 WHITE BARN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026332",
            "telephone_number": "630-336-4906",
            "fax_number": "630-851-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 WHITE BARN RD",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026332",
            "telephone_number": "630-336-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "CARYN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149.003250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.