Kenneth Aaron Burnstein, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149008796 Issued in IL

Practice address

715 Lake St Ste 310
Oak Park, IL 60301-1412

Phone

(630) 418-9484

NPI assigned

Jan 22, 2007

Last updated

Apr 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Perrotta and Kraus PHDS PC

  dba Centers for Family Change

  • Psychologist
  • Oak Brook, IL
  • NPI 1295928968
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1669526265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 FOREST AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051709",
            "telephone_number": "630-418-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 LAKE ST STE 310",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011412",
            "telephone_number": "630-418-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNSTEIN",
        "first_name": "KENNETH",
        "middle_name": "AARON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiesha Burnett
• Yvonne L Burnett, MD
• Dawn Marniece Burns, LSW, MSW
• Megan Burns, LCSW
• Virginia S Burns, L.AC
• Winifred Glory Belzonia Burton, IBCLC, NAC
• Karissa Bustos
• Madeleine Butler, LCSW
• Thomas William Butler, M.DIV.
• Elisa Marie Buzinski, MS RD LDN

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.