Kayla Bass
Individual provider Active NPI Counselor · Chicago, IL
NPI 1659968634 · NPPES record last updated Dec 24, 2020
Key facts
- NPI
- 1659968634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 8407 S Constance Ave
Chicago, IL 60617-2218 - Phone
- (312) 721-2471
- NPI assigned
- Dec 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resk Residential Services Inc, | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
8407 S Constance Ave
Chicago, IL 60617-2218
Mailing address
8407 S Constance Ave
Chicago, IL 60617-2218
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.