Kind Living Therapy, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180000710 Issued in IL

Legal business name

KIND LIVING THERAPY, LLC

Practice address

210 W Water St Ste 1
Pontiac, IL 61764-1790

Phone

(815) 844-2644

NPI assigned

Jul 25, 2018

Last updated

Jul 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy Kay Duffy, LCPCNPI 1932259983

Title

Therapist

Phone

(815) 844-2644

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Duffy, LCPC

  • Mental Health Counselor
  • Pontiac, IL
  • NPI 1932259983
  NPD (past) Authorized official

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1538646203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W WATER ST STE 1",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641790",
            "telephone_number": "815-844-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W WATER ST STE 1",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617641790",
            "telephone_number": "815-844-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIND LIVING THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "815-844-2644",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180000710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Kessinger, BS
• Kimberly K Kidner, D.C.
• Laurel Kietzman, MD
• Robert W Kinas, LCPC
• John Kincinas, PA
• Kianna R Klendworth, BS
• Matthew Charles Knapp, PT
• Tanya M Knauff, PT
• Kendel S Knudson, OTD, OTR/L
• Mary Krall

• Mental Health Counselor in Pontiac, IL
• Providers in Pontiac, 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 Jul 25, 2018; 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.