Kin Therapy Collective PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KIN THERAPY COLLECTIVE PLLC

Practice address

4633 N Western Ave Ste 200
Chicago, IL 60625-2181

Phone

(302) 230-1531

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Sophia Catherine Burke, LCPCNPI 1447630769

Title

Psychotherapist

Phone

(302) 230-1531

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sophia Catherine Burke, LCPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1447630769
  NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1720669534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 N WINTHROP AVE APT 608",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604370",
            "telephone_number": "302-230-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 N WESTERN AVE STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252181",
            "telephone_number": "302-230-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIN THERAPY COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "302-230-1531",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447630769",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabella Kimrey, LPC
• Kims Modern Pharmacy Inc (Modern Pharmacy)
• Shannon Kimsey, FPA, APRN
• Elizabeth Ann Kimura, MA, LPC, NCC, MT-BC
• Robert Kimura, M.D.
• Karen Kinahan
• Patricia C. Kinahan, MSN, FNP-BC
• Korinne Alice Kincaid, RN
• Kind Care Health
• Kind Eyes PLLC (Kind Eyes)

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.