Active NPI
Kimberly Gillett
- School Counselor
- Homewood, IL
National Provider Identifier
1538874755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 2343567
- Practice address
- 926 Olive Rd
Homewood, IL 60430-2457 - Phone
- (708) 351-5095
- NPI assigned
- Jan 23, 2023
- Last updated
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 2343567 | IL | Primary |
Addresses
Primary practice location
926 Olive Rd
Homewood, IL 60430-2457
Mailing address
926 Olive Rd
Homewood, IL 60430-2457
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 |
|---|---|---|---|
| 2343567 | IL | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1538874755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "926 OLIVE RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 OLIVE RD",
"city": "HOMEWOOD",
"state": "IL",
"postal_code": "604302457",
"telephone_number": "708-351-5095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLETT",
"first_name": "KIMBERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "IL",
"license": "2343567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homewood, IL
- Gentle Glow Home Care Agency
- Daniel Gerber
- Michael S. Gideon, D.D.S.,M.S.D.
- Gifted Hands Doula Services Inc
- Sarah Gillespie, LCSW
- Franzie Marie Giordani, M.S. LPC ELIGIBLE
- Linda Girardot, APRN
- Glass Clinical Labs Inc.
- Global Community Mental Health Center SE Sub Inc
- Glow Behavioral Health Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.