Active NPI
Donald Emil Kush, LCSW
- Clinical Social Worker
- Lake Zurich, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.009362
- Practice address
- 290 N Rand Rd
Lake Zurich, IL 60047-2213 - Phone
- (888) 261-2178
- Fax
- (847) 550-4497
- NPI assigned
- Jan 25, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149.009362 | IL | Primary |
Addresses
Primary practice location
290 N Rand Rd
Lake Zurich, IL 60047-2213
Mailing address
1830 Kelley Dr
Hoffman Estates, IL 60192-4510
Phone (847) 309-2177
Other practice location 1
1242 W Northwest Hwy
Palatine, IL 60067-1897
Phone (888) 261-2178
Other practice location 2
215 S Northwest Hwy
Barrington, IL 60010-8300
Phone (888) 261-2178
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1242 W Northwest Hwy
Suite 6
Palatine, IL 60067-1897
Phone (888) 261-2178
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.009362 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrington Behavioral Health & Wellness PC | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Past | Accepting new patients |
Locations
290 N Rand Rd
Ste D
Lake Zurich, IL 60047
Phone (888) 261-2178
290 N Rand Rd
Lake Zurich, IL 60047
Phone (847) 438-2454
1242 W Northwest Hwy
#6
Palatine, IL 60067
Phone (888) 261-2178
1242 W Northwest Hwy
Palatine, IL 60067
Phone (888) 261-2178
1242 W Northwest Hwy
Ste 6
Palatine, IL 60067
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counseling Psychologist
- Lake Zurich, IL
- NPI 1851675631
-
dba Denver Health Eastside Pharmacy
- Clinic Pharmacy
- Denver, CO
- NPI 1285657528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1740870559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 KELLEY DR",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601924510",
"telephone_number": "847-309-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 N RAND RD",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600472213",
"telephone_number": "888-261-2178",
"fax_number": "847-550-4497"
}
],
"practiceLocations": [
{
"address_1": "1242 W Northwest Hwy",
"address_purpose": "LOCATION",
"city": "Palatine",
"state": "IL",
"postal_code": "600671897",
"country_code": "US",
"telephone_number": "888-261-2178",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 S Northwest Hwy",
"address_purpose": "LOCATION",
"city": "Barrington",
"state": "IL",
"postal_code": "600108300",
"country_code": "US",
"telephone_number": "888-261-2178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUSH",
"first_name": "DONALD",
"middle_name": "EMIL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-25",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.009362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.