Individual provider Active NPI

Donald Emil Kush, LCSW

  • Clinical Social Worker
  • Lake Zurich, IL
National Provider Identifier
1740870559
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.009362 Issued in IL
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

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309002165 IL Practitioner - Clinical Social Worker 5698181048 Reassigns benefits to 1 organization

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
Barrington Behavioral Health and Wellness PCGroup PAC ID 6608099163, 11 clinicians

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

LicenseStateTypeSpecialty
149.009362ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barrington Behavioral Health & Wellness PC CurrentSince Feb 8, 2021 Accepting new patients
Denver Health and Hospital Authority PastSince Jan 31, 2021 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.

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

Verify at the official NPI Registry.