Kimberly Kurzydlo, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180004639 Issued in IL

Practice address

900 Ridge Rd
Suite 1SW
Homewood, IL 60430-1933

Phone

(708) 794-6511

Fax

(708) 249-0022

NPI assigned

Mar 19, 2007

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

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

• Integrity Clinical Consulting & Training LLC

  • Clinical Social Worker
  • Homewood, IL
  • NPI 1043612443
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1639293111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD",
            "address_2": "SUITE 1SW",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301933",
            "telephone_number": "708-794-6511",
            "fax_number": "708-249-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD",
            "address_2": "SUITE 1SW",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301933",
            "telephone_number": "708-794-6511",
            "fax_number": "708-249-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZYDLO",
        "first_name": "KIMBERLY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Kreuz Sr., D.D.S.
• Kelsey Kryszak, BCBA
• Daniel Kupres
• Kurani Med Inc
• Elizabeth Kurnat, MSN, FNP
• John Kwinn, MD
• Devin Lacy
• Lafa Home Healthcare LLC.
• Nathan Patrick Lagacy
• Laketop Inc.

• Professional Counselor in Homewood, IL
• Providers in Homewood, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.