Kei Ishimaru, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178019768 Issued in IL

Practice address

1935 W Belmont Ave
Chicago, IL 60657-8620

Phone

(312) 600-5601

NPI assigned

Sep 12, 2024

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

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1497581722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 KINCAID DR",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606578620",
            "telephone_number": "312-600-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIMARU",
        "first_name": "KEI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178019768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hamza Ishfaq, M.D
• Talia Fatima Ishfaq
• Nora L Ishibashi, M.S.W., PH.D.
• David Ishikawa, PT, DPT
• Laura Ishikawa
• Khachig K Ishkhan, MD
• Michelle Filipski Ishler, LCSW
• Olusegun Adekunle Ishmael, MD
• Jessica Ishola, FNP-BC
• Kenechukwu Isi, MD

• All providers in Chicago, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.