Taya Kinzie, LCSW, EDD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.010677 Issued in IL

Practice address

2530 Crawford Ave Ste 317
Evanston, IL 60201-4972

Phone

(847) 644-0940

NPI assigned

Jul 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kinzie Therapy & Consulting PLLC

  • Clinical Social Worker
  • Evanston, IL
  • NPI 1083588636
  NPD Authorized official

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1598656068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 HILLSIDE RD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014936",
            "telephone_number": "847-644-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CRAWFORD AVE STE 317",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014972",
            "telephone_number": "847-644-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZIE",
        "first_name": "TAYA",
        "name_prefix": "Dr.",
        "credential": "LCSW, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Kingston
• Ann E Kinnealey, MD
• Timothy James Kinsey, PA-C
• Cheryl Ann Kinsman, PH. D.
• Kinzie Therapy & Consulting PLLC
• Kelsey L. Kippe, APN-CRNA
• Margaret M Kipta, CRNA
• Margit E Kir-Stimon, PHD
• Unknown Kiran
• Janet Kirby, MD

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.