KC Care Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KC CARE INC

Practice address

1525 E 53Rd St Ste 428
Chicago, IL 60615-4575

Phone

(312) 801-6219

Fax

(773) 326-0871

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Kenneth G Wilson, LCSW

Title

Director

Phone

(312) 801-6219

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1669032520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 428",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154575",
            "telephone_number": "312-801-6219",
            "fax_number": "773-326-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E 53RD ST STE 428",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154575",
            "telephone_number": "312-801-6219",
            "fax_number": "773-326-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-801-6219",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361562877001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KB & Associates LLC
• KB Enterprises of Chicago LLC
• KB Psychological Practice, PC
• KBC Consulting, PLLC
• Beylul Kbreab
• KC Care Inc
• KC Management Group
• KC Med Labratory
• Sharada KC, MD
• Yixin Ke, LPC

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.