Organization Active NPI

KJL for Life, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Deerfield, IL
National Provider Identifier
1538094164
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KJL FOR LIFE, INC
Practice address
211 Kenmore Ave
Deerfield, IL 60015-4744
Phone
(847) 494-1946
NPI assigned
Jun 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Authorized official

Name
Kimberly J Lazarus, LCSWNPI 1710094891
Title
Licensed Clinical Social Worker
Phone
(847) 494-1946

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

211 Kenmore Ave
Deerfield, IL 60015-4744

Mailing address

211 Kenmore Ave
Deerfield, IL 60015-4744
Phone (847) 494-1946

National Provider Directory

National Provider Directory

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": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782604800000",
    "number": "1538094164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 KENMORE AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154744",
            "telephone_number": "847-494-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 KENMORE AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154744",
            "telephone_number": "847-494-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJL FOR LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "847-494-1946",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.