Kiebles Psychology Services LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KIEBLES PSYCHOLOGY SERVICES LLC

Doing business as

Kiebles Psychology Services

Practice address

615 W Front St
Wheaton, IL 60187-5039

Phone

(630) 923-7814

NPI assigned

Nov 2, 2021

Last updated

Nov 2, 2021By 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

Dr. Jennifer L Kiebles, PHDNPI 1598067886

Title

Owner

Phone

(773) 895-7490

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kiebles Psychology Services Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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.

• Jennifer Lea Kiebles, PH.D.

  • Clinical Psychologist
  • Winfield, IL
  • NPI 1598067886
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1699430967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0S065 RIVER LN",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901208",
            "telephone_number": "773-895-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W FRONT ST",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601875039",
            "telephone_number": "630-923-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIEBLES PSYCHOLOGY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "KIEBLES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-895-7490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1598067886",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiebles Psychology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasmeen Khan, PSYD
• Chitra Khorana, OT
• Kids First Collaborative, PLLC
• Kids Pediatrics LTD
• Kids Urgent Care LTD
• Natasha Kiefer, AMFT
• Timothy J. Kietzman, M.D.
• Erica Kight, DDS
• Ethan Zachary Kile
• Ji Min Kim, LCPC

• Adult Mental Health Clinic/Center in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.