Kaleidoscope Clinical Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KALEIDOSCOPE CLINICAL COUNSELING, PLLC

Practice address

330 Division Dr Ste a
Sugar Grove, IL 60554-9800

Phone

(630) 708-0317

NPI assigned

Mar 27, 2024

Last updated

Jun 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy HeimanNPI 1912907932

Title

Owner/LCPC

Phone

(630) 708-0317

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Heiman, LCPC

  • Professional Counselor
  • Sugar Grove, IL
  • NPI 1912907932
  Medicare reassignment NPD Authorized official
• Lori R Cook, MA, LCPC

  • Professional Counselor
  • Wheaton, IL
  • NPI 1740584556
  NPD
• Tracy Nitta Takeda, MA , LCPC

  • Professional Counselor
  • Warrenville, IL
  • NPI 1225120900
  NPD

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1669223780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DIVISION DR STE A",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549800",
            "telephone_number": "630-708-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DIVISION DR STE A",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605549800",
            "telephone_number": "630-708-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE CLINICAL COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "HEIMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/LCPC",
        "authorized_official_telephone_number": "630-708-0317"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Rae Jebens-Mills, DVM
• Brittany Ann Johnsen, RD
• Susan Jean Johnson, PT
• Melissa Ann Joseph, LCSW
• Joshua L. Korsgarden, O.D., LTD.
• Sara Suzanne Kim
• Jennifer Dawn Kopis, COTA/L
• Joshua L Korsgarden, O.D.
• Dawn Marie Kraus
• Kristen Kroening

• Professional Counselor in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.