KJM Integrative Psychotherapy and Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KJM INTEGRATIVE PSYCHOTHERAPY AND WELLNESS

Practice address

512 W Burlington Ave
La Grange, IL 60525-2221

Phone

(720) 547-8220

NPI assigned

Dec 22, 2023

Last updated

Dec 22, 2023By 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

Kimberly McManus

Title

Owner

Phone

(720) 547-8220

Specialties & licenses 1

Addresses

Locations

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.

• Kimberly Jo Tillotson-McManus, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1235564311
  NPD

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703203200000",
    "number": "1598534109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 912",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BURLINGTON AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252221",
            "telephone_number": "720-547-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJM INTEGRATIVE PSYCHOTHERAPY AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-547-8220"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kenney, MD
• Kevin E Collins DDS PC
• Samir Khowaja
• Emily Kinas
• Elizabeth Nguyen Kirchoff, D.O.
• Katherine Elizabeth Klara, LCPC
• Jonah Koelling
• Leo Koenig, MD
• Winfred Kofi Kokor, M.D
• Sheela D Konda, M.D, PH.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in La Grange, IL
• Providers in La Grange, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.