Organization Active NPI

PKK Services Inc.

  • Clinical Social Worker
  • Naperville, IL
National Provider Identifier
1497284996
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-007322 Issued in IL
Legal business name
PKK SERVICES INC.
Practice address
3380 Lacrosse LN Ste 101
Naperville, IL 60564-8528
Phone
(630) 234-0466
Fax
(630) 216-6223
NPI assigned
Jun 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Paige Kendall Koos, EDD, LCSWNPI 1346539855
Title
Owner/Clinical Therapist
Phone
(630) 234-0466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 149-007322 IL Primary

Addresses

Primary practice location

3380 Lacrosse LN Ste 101
Naperville, IL 60564-8528

Mailing address

3380 Lacrosse LN Ste 101
Naperville, IL 60564-8528
Phone (630) 234-0466

National Provider Directory

National Provider Directory

Locations

3380 Lacrosse Ln
Ste 101
Naperville, IL 60564
Phone (630) 234-0466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497284996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648528",
            "telephone_number": "630-234-0466",
            "fax_number": "630-216-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 LACROSSE LN STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648528",
            "telephone_number": "630-234-0466",
            "fax_number": "630-216-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PKK SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOOS",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "630-234-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-007322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.