Active NPI
Kaitlyn Ayala, LCPC, NCSP
- School Psychologist
- Schaumburg, IL
National Provider Identifier
1588139935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- NCSP-64737
- Practice address
- 1365 Wiley Rd Ste 147
Schaumburg, IL 60173-4357 - Phone
- (224) 801-4514
- NPI assigned
- Oct 11, 2018
- Reactivated
- Jun 10, 2025
- Last updated
- Sep 25, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180017051 | IL | |
| Professional Counselor | 101YP2500X | 178019269 | IL | |
| School Psychologist | 103TS0200X | NCSP-64737 | IL | Primary |
Addresses
Primary practice location
1365 Wiley Rd Ste 147
Schaumburg, IL 60173-4357
Mailing address
1365 Wiley Rd Ste 147
Schaumburg, IL 60173-4357
Other names 1
- Kaitlyn Vines
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 |
|---|---|---|---|
| 178019269 | IL | MD | Professional Counselor |
| 180017051 | IL | MD | Professional Counselor |
| NCSP-64737 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1588139935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 WILEY RD STE 147",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 WILEY RD STE 147",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601734357",
"telephone_number": "224-801-4514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "KAITLYN",
"credential": "LCPC, NCSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"deactivation_date": "2025-05-14",
"reactivation_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180017051",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178019269",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "NCSP-64737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAITLYN",
"last_name": "VINES",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.