KC Counseling Service

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KC COUNSELING SERVICE

Practice address

501 W Elliott Ave
Springfield, IL 62702-3714

Phone

(217) 786-8361

Fax

(217) 775-0757

NPI assigned

Apr 25, 2026

Organization subpart

No

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

Authorized official

Name

Kynda C CanadaNPI 1891644837

Title

LCSW

Phone

(217) 299-1099

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.

• Kynda C Canada, LCSW

  • Clinical Social Worker
  • Springfield, IL
  • NPI 1891644837
  NPD (past) Authorized official

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

{
    "created_epoch": "1777075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1609712405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 BRISTOL RD",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626299635",
            "telephone_number": "217-299-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W ELLIOTT AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023714",
            "telephone_number": "217-786-8361",
            "fax_number": "217-775-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-25",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "CANADA",
        "authorized_official_first_name": "KYNDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "217-299-1099"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Kavanagh
• Kay Gottrich LCPC PLLC
• Kathleen Alexandra Kay, MD
• Paul A Kay, M.D.
• Sibtain Kazmi, MD
• Bronagh Patricia Keane, RPH
• Sara Kebede, MD, MSCR
• Kenzie Keefer, PTA
• Jason A. Kegg, M.D.
• Sophia A Keith, OTR/L

• Clinical Social Worker in Springfield, IL
• Providers in Springfield, 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 Sep 2, 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.

Verify at the official NPI Registry.