Individual provider Active NPI

Karla Alaine Ciombor Buck, NCC, LCPC, CADC, CGP

  • Professional Counselor
  • Downers Grove, IL
National Provider Identifier
1649815754
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.012306 Issued in IL
Practice address
5120 Main St Ste 103
Downers Grove, IL 60515-4667
Phone
(630) 286-9320
NPI assigned
Nov 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180.012306 IL Primary

Addresses

Primary practice location

5120 Main St Ste 103
Downers Grove, IL 60515-4667

Mailing address

2640 Woodmere Dr
Darien, IL 60561-1503
Phone (630) 640-5268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180.012306ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Therapy Services CurrentSince Nov 1, 2019 Accepting new patients
Kickstand Counseling, PLLC Professional CurrentSince Feb 23, 2025 Accepting new patients

Locations

16151 Weber Rd
Ste LL10
Crest Hill, IL 60403
Phone (815) 782-8263

5120 Main St
Ste 103
Downers Grove, IL 60515
Phone (630) 286-9320

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1649815754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 WOODMERE DR",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605611503",
            "telephone_number": "630-640-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 MAIN ST STE 103",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154667",
            "telephone_number": "630-286-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "KARLA",
        "middle_name": "ALAINE CIOMBOR",
        "name_prefix": "Mrs.",
        "credential": "NCC, LCPC, CADC, CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

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