Kanika Shirole

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178015999 Issued in IL

Practice address

155 N Michigan Ave
Chicago, IL 60601-7511

Phone

(863) 577-9322

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

Yes

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1508476565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 N DOVER ST APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404638",
            "telephone_number": "863-577-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017511",
            "telephone_number": "863-577-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIROLE",
        "first_name": "KANIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178015999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camron Shirkhodaie, MD
• Shirley a Roy, MDSC
• Shirley Lee Termolen MD SC
• Shirley S Wong M.D.S.C.
• Davida Shirley
• Shiv Pharmacy Incorporation
• Shivaadi Corporation
• Vidya Shivakumar, M.D.
• Fnu Shivani
• Anupama Shivaraju, M.D.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.