Organization Active NPI

Anna Kultys, LCPC, PLLC

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1760152995
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ANNA KULTYS, LCPC, PLLC
Practice address
2451 N Lincoln Ave Ste 204
Chicago, IL 60614-2422
Phone
(312) 646-8937
NPI assigned
Sep 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Anna E Kultys, LCPCNPI 1578901807
Title
Managing Officer
Phone
(312) 646-8937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2451 N Lincoln Ave Ste 204
Chicago, IL 60614-2422

Mailing address

2451 N Lincoln Ave Ste 204
Chicago, IL 60614-2422
Phone (312) 646-8937

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1760152995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 N LINCOLN AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142422",
            "telephone_number": "312-646-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 N LINCOLN AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142422",
            "telephone_number": "312-646-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA KULTYS, LCPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-19",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "KULTYS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "312-646-8937",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.