Haley Kaimakis, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.016060 Issued in IL

Practice address

21925 W Field Pkwy
Deer Park, IL 60010-7208

Phone

(847) 438-4222

NPI assigned

Sep 24, 2020

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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.

• Cherry Hill Associates, LLC

  dba Cherry Hill Center

  • Clinical Social Worker
  • Lake Zurich, IL
  • NPI 1225277668
  NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1609483643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21925 W FIELD PKWY STE 215",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107278",
            "telephone_number": "847-305-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21925 W FIELD PKWY",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107208",
            "telephone_number": "847-438-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIMAKIS",
        "first_name": "HALEY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.016060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthsource of Deer Park
• Holland Therapy Group
• Danesha Howard, FNP-BC
• Tyler Huang
• Jay Joshi, M.D.
• John Kim, LPC
• Olivia Korpus, MSN, FNP-BC, PCCN
• Elizabeth Lattof Bruemmer, LPC
• Luxottica of America Inc. (Lenscrafters Optique #5229)
• Medicaid Support, LLC

• Professional Counselor in Deer Park, IL
• Providers in Deer Park, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.