Active NPI
Kimberly Erin Groll, LCPC, CADC, CAMT
- Counselor
- Naperville, IL
National Provider Identifier
1659796639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 180008884
- Practice address
- 608 S. Washington Street
Suite 207 Achieving Solutions Counseling, Inc.
Naperville, IL 60540 - Phone
- (630) 632-4060
- Fax
- (630) 983-6474
- NPI assigned
- Feb 27, 2014
- Last updated
- Feb 27, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180008884 | IL | Primary |
Addresses
Primary practice location
608 S. Washington Street
Suite 207 Achieving Solutions Counseling, Inc.
Naperville, IL 60540
Mailing address
608 S. Washington Street
Suite 207 Achieving Solutions Counseling, Inc.
Naperville, IL 60540
Phone (630) 632-4060
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180008884 | IL | MD | Counselor |
Organizations & group practices 1
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.
-
- Counselor
- Naperville, IL
- NPI 1356772412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1659796639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 S. WASHINGTON STREET",
"address_2": "SUITE 207 ACHIEVING SOLUTIONS COUNSELING, INC.",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-632-4060",
"fax_number": "630-983-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 S. WASHINGTON STREET",
"address_2": "SUITE 207 ACHIEVING SOLUTIONS COUNSELING, INC.",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "60540",
"telephone_number": "630-632-4060",
"fax_number": "630-983-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROLL",
"first_name": "KIMBERLY",
"middle_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "LCPC, CADC, CAMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-27",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180008884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.