Active NPI
Joshua Michael Kay
- Social Worker
- Bannockburn, IL
National Provider Identifier
1528614799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 24217
- Practice address
- 2515 Waukegan Rd Ste 3
Bannockburn, IL 60015-1569 - Phone
- (708) 505-6260
- NPI assigned
- Aug 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 24217 | MD | Primary |
Addresses
Primary practice location
2515 Waukegan Rd Ste 3
Bannockburn, IL 60015-1569
Mailing address
2515 Waukegan Rd Ste 3
Bannockburn, IL 60015-1569
Phone (708) 505-6260
Other practice location 1
1900 N Howard St Ste 300
Baltimore, MD 21218-5909
Phone (443) 438-6742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-3876389 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24217 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huckleberry Counseling, LLC | Current | Accepting new patients |
Locations
2515 Waukegan Rd
Ste 3
Bannockburn, IL 60015
Phone (708) 505-6260
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Bannockburn, IL
- NPI 1164250510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1528614799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 WAUKEGAN RD STE 3",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151569",
"telephone_number": "708-505-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 WAUKEGAN RD STE 3",
"city": "BANNOCKBURN",
"state": "IL",
"postal_code": "600151569",
"telephone_number": "708-505-6260"
}
],
"practiceLocations": [
{
"address_1": "1900 N Howard St Ste 300",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212185909",
"country_code": "US",
"telephone_number": "443-438-6742",
"fax_number": "443-773-5624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAY",
"first_name": "JOSHUA",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-14",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "24217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38-3876389",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bannockburn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.